Individual
MS. BRIANA TAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
400 W MINERAL KING AVE, VISALIA, CA 93291-6237
(559) 624-2213
Mailing address
393 E WALNUT ST FL 3, PHR GROUP PROVIDER ENROLLMENT UNIT, PASADENA, CA 91188-0001
(877) 608-0044
(877) 514-0903
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
57253
CA
Other
Enumeration date
11/18/2019
Last updated
03/11/2022
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