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Individual

EMILY TANG

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
NP

Contact information

Practice address
359 LAKEPORT BLVD, LAKEPORT, CA 95453-5412
(707) 263-8383
(707) 263-5019
Mailing address
PO BOX 1950, LAKEPORT, CA 95453-1950
(707) 263-8383
(707) 263-5019

Taxonomy

Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
95001591
CA

Other

Enumeration date
04/13/2015
Last updated
09/26/2024
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