Individual
RUBY R TAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
301 JENNICK DR # A, COLONIAL HEIGHTS, VA 23834-4904
(804) 524-0055
Mailing address
301 JENNICK DR # A, COLONIAL HEIGHTS, VA 23834-4904
(804) 524-0055
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
0101242398
VA
Other
Enumeration date
09/30/2008
Last updated
09/30/2008
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