Individual
TAMMIE DOAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
9351 LILY AVE, FOUNTAIN VALLEY, CA 92708-2263
(714) 907-5250
Mailing address
9351 LILY AVE, FOUNTAIN VALLEY, CA 92708-2263
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
95038147
CA
Other
Enumeration date
01/13/2026
Last updated
01/13/2026
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