Individual
SANNA TAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
16111 PLUMMER ST, NORTH HILLS, CA 91343-2036
(818) 891-7711
Mailing address
415 W VALLEY BLVD STE C, SAN GABRIEL, CA 91776-3728
Taxonomy
Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
Primary
95021761
CA
Other
Enumeration date
07/20/2022
Last updated
08/29/2025
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