Individual
TIAGO IEONG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
5530 HALIFAX RD, ARCADIA, CA 91007-8413
(626) 532-6357
Mailing address
5530 HALIFAX RD, ARCADIA, CA 91007-8413
(626) 532-6357
Taxonomy
Speciality
Code
Description
License number
State
163WG0000X
General Practice Registered Nurse
Primary
95245148
CA
Other
Enumeration date
04/23/2021
Last updated
04/23/2021
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