Individual
MR. EUGENE TAN AGUILAR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
NURSE PRACTITIONER
Contact information
Practice address
16718 SAN FERNANDO MISSION BLVD, GRANADA HILLS, CA 91344
(818) 322-5747
(818) 923-5689
Mailing address
16718 SAN FERNANDO MISSION BLVD, GRANADA HILLS, CA 91344
(818) 322-5747
(818) 923-5689
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
95005451
CA
Other
Enumeration date
02/07/2017
Last updated
02/07/2017
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