Individual
MARIA ANGELICA GOZUM TAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BSN, RN
Contact information
Practice address
1010 PENSACOLA ST, HONOLULU, HI 96814-2118
(808) 432-2000
Mailing address
600 QUEEN ST APT 1009, HONOLULU, HI 96813-5196
(510) 449-7704
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
95284816
CA
163W00000X
Registered Nurse
RN-107762
HI
Other
Enumeration date
08/06/2022
Last updated
08/06/2022
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