Individual
KIM GEPANA TAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
P.T.
Contact information
Practice address
5241 JOG LN, DELRAY BEACH, FL 33484-6652
(561) 496-7993
Mailing address
5241 JOG LANE, DELRAY BEACH, FL 33484
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
070.019410
IL
Other
Enumeration date
02/05/2014
Last updated
02/05/2014
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