Individual
LIZA BEE KUN TAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MB BCH BAO
Contact information
Practice address
600 N WOLFE ST, BLALOCK 655, BALTIMORE, MD 21287-0005
(410) 855-0834
(410) 955-0834
Mailing address
116 W UNIVERSITY PKWY, BROADVIEW APARTMENT #1034, BALTIMORE, MD 21210-3305
(443) 414-3363
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
08/05/2007
Last updated
08/05/2007
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