Individual
YUN TANG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
63 NICKS ROCK RD, PLYMOUTH, MA 02360-4170
(508) 633-3142
Mailing address
63 NICKS ROCK RD, PLYMOUTH, MA 02360-4170
(508) 633-3142
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
—
—
Other
Enumeration date
07/25/2007
Last updated
07/25/2007
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