Individual
DEBBIE JOANNA TAY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
N.P.
Contact information
Practice address
1301 20TH ST, SUITE 400, SANTA MONICA, CA 90404-2050
(310) 828-7757
(310) 828-6687
Mailing address
PO BOX 5978, FULLERTON, CA 92838-0978
(714) 992-5292
(714) 992-1956
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
12742
CA
Other
Enumeration date
01/22/2007
Last updated
07/09/2007
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