Individual
TUN WIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CCP
Contact information
Practice address
580 N WILMA AVE STE F, RIPON, CA 95366-9514
(209) 345-1200
Mailing address
4984 TIMEPIECE CIR, STOCKTON, CA 95219-2042
(972) 741-8799
Taxonomy
Speciality
Code
Description
License number
State
242T00000X
Perfusionist
Primary
—
—
Other
Enumeration date
03/17/2019
Last updated
03/17/2019
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