Individual
CHARITY L TAN
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
N.P.
Contact information
Practice address
1011 DEVONSHIRE DR, SUITE E, ENCINITAS, CA 92024-5136
(760) 632-5456
Mailing address
1011 DEVONSHIRE DR, SUITE E, ENCINITAS, CA 92024-5136
(760) 632-5456
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
NP14259
CA
Other
Enumeration date
07/28/2005
Last updated
07/08/2007
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