Individual
MRS. MILDRED Q TAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
13565 MONTE ROYALE DR, CHINO HILLS, CA 91709-1381
(909) 627-1782
Mailing address
13565 MONTE ROYALE DR, CHINO HILLS, CA 91709-1381
(909) 627-1782
Taxonomy
Speciality
Code
Description
License number
State
246QM0706X
Medical Technologist
Primary
MTA18571
CA
Other
Enumeration date
05/07/2007
Last updated
07/08/2007
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