Individual
REGILAH ANN TAN RAMON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NURSE PRACTITIONER
Contact information
Practice address
31236 PALOS VERDES DR W, RANCHO PALOS VERDES, CA 90275-5361
(310) 544-2121
Mailing address
4775 E PACIFIC COAST HWY APT 304, LONG BEACH, CA 90804-3261
(310) 910-4756
Taxonomy
Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
95006381
CA
Other
Enumeration date
05/19/2017
Last updated
04/19/2021
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