Individual
MRS. SHARON D TIERNAN-LANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
5701 8TH ST, DUBLIN, CA 94568-3305
(925) 833-7500
Mailing address
PO BOX 453, ELMIRA, CA 95625-0453
(707) 469-8699
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1034001
NCCPA
—
Enumeration date
08/12/2013
Last updated
08/12/2013
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