Individual
MS. EMILY KATHERINE TAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
140 DECATUR ST SE, ATLANTA, GA 30303-3204
(781) 850-5877
Mailing address
982 VIRGINIA AVE NE APT 2, ATLANTA, GA 30306-3608
(781) 850-5877
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
07/15/2022
Last updated
07/15/2022
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