Individual
VERNA O TAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1074 MURRIETA BLVD, LIVERMORE, CA 94550-4111
(925) 443-0980
Mailing address
5314 ALAGRO CT, DUBLIN, CA 94568-8728
(925) 277-1300
(925) 277-1897
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
15319
CA
363AS0400X
Surgical Physician Assistant
Primary
PA15319
CA
Other
Enumeration date
02/15/2013
Last updated
11/26/2024
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