Individual
MICHELLE NATHANIA TAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
480 CENTRAL AVE, JBPHH, HI 96860-4908
(808) 448-3285
Mailing address
III MARINE EXPEDITIONARY FORCE SURGEON, UNIT 35605, FPO, AP 96382
Taxonomy
Speciality
Code
Description
License number
State
171000000X
Military Health Care Provider
—
—
208D00000X
General Practice Physician
Primary
0102209499
VA
Other
Enumeration date
02/14/2024
Last updated
03/16/2026
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