Individual
EVELYN TAN OMANA-ROLDAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
4700 N 51ST AVE, SUITE 1, PHOENIX, AZ 85031-1237
(623) 845-8200
(623) 845-8210
Mailing address
7331 SHELBY PL, UNIT 134, RANCHO CUCAMONGA, CA 91739-5903
(484) 744-4375
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
40476
AZ
Other
Enumeration date
06/19/2007
Last updated
01/11/2022
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