Individual
ANGELICA TAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NURSE PRACTIONER
Contact information
Practice address
461 TENNESSEE ST STE C, REDLANDS, CA 92373-8161
(909) 475-7371
(855) 233-7921
Mailing address
29095 BAYLEAF CIR, MENIFEE, CA 92584-3350
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
95020641
CA
Other
Enumeration date
12/06/2022
Last updated
07/02/2025
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