Individual
TANIS E. GUERIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
3400 SPRUCE STREET, PHILADELPHIA, PA 19104-4206
(215) 662-3251
(215) 615-5055
Mailing address
3400 SPRUCE STREET, PHILADELPHIA, PA 19104-4206
(215) 662-3251
(215) 615-5055
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
C-50000844
DE
363AM0700X
Medical Physician Assistant
Primary
MA063270
PA
Other
Enumeration date
10/14/2012
Last updated
03/14/2022
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