Individual
FION TAI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
WHNP-BC
Contact information
Practice address
279 TUSTIN FIELD DR, TUSTIN, CA 92782-6523
(505) 480-7575
Mailing address
279 TUSTIN FIELD DR, TUSTIN, CA 92782-6523
(505) 480-7575
Taxonomy
Speciality
Code
Description
License number
State
363LW0102X
Women's Health Nurse Practitioner
Primary
95011151
CA
Other
Enumeration date
05/12/2019
Last updated
05/12/2019
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