Individual
CAROLINE TAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
9961 SIERRA AVE, FONTANA, CA 92335-6720
(833) 574-2273
Mailing address
100 S LOS ROBLES AVE # 501, PASADENA, CA 91101-2453
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
95173476
CA
Other
Enumeration date
07/28/2023
Last updated
12/30/2024
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