Individual
MS. CATHERINE CHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
207 S SANTA ANITA ST STE P05, SAN GABRIEL, CA 91776-1159
(626) 652-7433
Mailing address
207 S SANTA ANITA ST STE P05, SAN GABRIEL, CA 91776-1159
(266) 526-7433
Taxonomy
Speciality
Code
Description
License number
State
163WP2201X
Ambulatory Care Registered Nurse
825283
CA
363L00000X
Nurse Practitioner
Primary
95015178
CA
Other
Enumeration date
10/22/2020
Last updated
01/14/2022
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