Individual
ANNA MARIA MAGLUNOG TAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPM
Contact information
Practice address
412 W CARROLL AVE STE 107, GLENDORA, CA 91741-4708
(626) 963-8351
Mailing address
1135 S SUNSET AVE STE 200, WEST COVINA, CA 91790-3937
(626) 918-6655
(626) 918-8614
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
E5307
CA
Other
Enumeration date
04/21/2014
Last updated
02/02/2024
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