person
Michelle Nathania Tan
Military Health Care Provider in San Diego, California
NPI 1669237236

Michelle Nathania Tan is a Military Health Care Provider based in San Diego, CA. Michelle Nathania Tan practices in San Diego, CA. The NPI Number for Michelle Nathania Tan is 1669237236 and holds a License No. (California).

The current practice location address for Michelle Nathania Tan is 34800 Bob Wilson Dr, San Diego, CA and can be reached out via phone at 559-321-1656. You can also correspond with Michelle Nathania Tan through the mailing address at 34800 BOB WILSON DR, SAN DIEGO, CA - 92134-5000 (mailing address contact number: 559-321-1656).

Location: 34800 Bob Wilson Dr, San Diego, CA, 92134-5000
person
Provider Profile Details
NPI Number
1669237236
Provider Name
Michelle Nathania Tan
Credential
Provider Entity Type
Individual
Gender
Female
Address
34800 Bob Wilson Dr, San Diego, CA, 92134-5000
Phone Number
559-321-1656
Fax Number
Provider Enumeration Date
02/14/2024
Last Update Date
03/13/2024
institution
Provider Business Practice Location Address Details
Address
34800 Bob Wilson Dr
City
State
Zip
92134-5000
Phone Number
559-321-1656
Fax Number
person
Provider Business Mailing Address Details
Address
34800 Bob Wilson Dr
City
State
Zip
92134-5000
Phone Number
559-321-1656
Fax Number
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Military Health Care Provider
Speciality
-
Taxonomy
License No.
()
Definition
Active duty military health care providers not otherwise classified who need to be separately identified for operational, clinical, or administrative processes.
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