Individual
CONNIE YI QING TAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1800 SULLIVAN AVE RM 101, DALY CITY, CA 94015-2227
(650) 994-0459
Mailing address
4325 JESSICA CIR, FREMONT, CA 94555-2102
(415) 810-8684
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
NP95020349
CA
Other
Enumeration date
05/25/2022
Last updated
05/25/2022
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