Individual
GRETA T TAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2995 ROSSMORE WAY, RM 15, SAN JOSE, CA 95148-3527
(408) 608-8792
Mailing address
PO BOX 53738, SAN JOSE, CA 95153-0738
(408) 608-8792
(408) 226-6412
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
11556
CA
Other
Enumeration date
11/04/2011
Last updated
11/04/2011
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