Individual
XIAO TANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
9532 WINTER GARDENS BLVD, LAKESIDE, CA 92040-4032
(619) 390-7342
Mailing address
6161 EL CAJON BLVD STE B196, SAN DIEGO, CA 92115-3922
(619) 770-5554
Taxonomy
Speciality
Code
Description
License number
State
183700000X
Pharmacy Technician
Primary
TCH168603
CA
Other
Enumeration date
06/01/2021
Last updated
06/01/2021
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