Individual
DR. MARISELA TAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARM.D.
Contact information
Practice address
505 PARNASSUS AVE # M39C, SAN FRANCISCO, CA 94143-2204
(415) 353-1850
Mailing address
521 PARNASSUS AVE # C-152, SAN FRANCISCO, CA 94143-2206
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
68879
CA
1835X0200X
Oncology Pharmacist
Primary
68879
CA
Other
Enumeration date
08/06/2016
Last updated
08/06/2016
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