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Individual

MARIA ROSALIE SIMON TANG

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
N.P.

Contact information

Practice address
725 WELCH RD, PALO ALTO, CA 94304-1601
(650) 497-8860
Mailing address
193 AYER LN, MILPITAS, CA 95035-4646
(408) 799-5981

Taxonomy

Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
15119
CA
364SP0200X
Pediatric Clinical Nurse Specialist
2090
CA

Other

Enumeration date
12/01/2010
Last updated
12/01/2010
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