Individual
MARIE LOURDES TAN YNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
10624 S EASTERN AVE STE A955, HENDERSON, NV 89052-2982
(702) 800-5393
Mailing address
10624 S EASTERN AVE STE A955, HENDERSON, NV 89052-2982
(702) 800-5393
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
20600
NV
207R00000X
Internal Medicine Physician
C150062
CA
208M00000X
Hospitalist Physician
M-2412
GU
Other
Enumeration date
06/21/2010
Last updated
10/31/2023
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