Individual
CATHY TAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
12490 CENTRAL AVE, CHINO, CA 91710-2603
(909) 464-9520
Mailing address
4059 BLAIR RIDGE DR, CHINO HILLS, CA 91709-4940
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
73115
CA
Other
Enumeration date
12/21/2015
Last updated
12/21/2015
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