Individual
SIUSHAN TANG VUONG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
102 CLARK PL APT S, MEMPHIS, TN 38104-2419
(515) 867-0223
Mailing address
102 CLARK PL APT S, MEMPHIS, TN 38104-2419
(515) 867-0223
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
9399
AZ
363A00000X
Physician Assistant
Primary
—
AR
Other
Enumeration date
09/10/2020
Last updated
10/30/2023
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