SOVANNARY TAN
Registered Nurse
Active
Individual
NPI: 1326397431
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Registered Nurse | 163W00000X | Yes | 57020 (NY) |
Frequently Asked Questions
NPI 1326397431 is the National Provider Identifier for SOVANNARY TAN, a Registered Nurse provider located in Bronx, NY. This NPI was enumerated on September 5, 2012.
SOVANNARY TAN practices at 111 E 210TH STREET, Bronx, NY 10467.
Quick Facts
- NPI
- 1326397431
- Type
- Individual
- Enumerated
- Sep 5, 2012
- Last Updated
- Sep 5, 2012
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