Individual
WENNY TAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
1505 ANNAPOLIS MALL, ANNAPOLIS, MD 21401-3090
(410) 573-2095
Mailing address
8 CHARLES PLZ APT 405, BALTIMORE, MD 21201-4202
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
TA2469
MD
Other
Enumeration date
06/28/2015
Last updated
06/28/2015
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