Individual
DR. IRENE BRANDI TAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
101 N CORONADO DR STE A, SIERRA VISTA, AZ 85635-6359
(520) 459-1529
Mailing address
1205 S SIERRA VISTA AVE # B, ALHAMBRA, CA 91801-5104
(626) 757-6407
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
34656
CA
Other
Enumeration date
08/24/2020
Last updated
08/24/2020
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