Individual
MS. EMILY NANCY FAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1600 CORPORATE CENTER DR, MONTEREY PARK, CA 91754-7626
(626) 282-0288
Mailing address
1600 CORPORATE CTR DR, MONTEREY PARK, CA 91754-7626
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
95021109
CA
Other
Enumeration date
03/17/2023
Last updated
03/17/2023
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