Individual
HANS TAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2555 ROOKE AVE, HONOLULU, HI 96817-1348
(214) 205-2067
Mailing address
2555 ROOKE AVE, HONOLULU, HI 96817-1348
(214) 205-2067
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
LPN-18588
HI
Other
Enumeration date
08/31/2016
Last updated
08/31/2016
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