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Jennifer Tan, DO
Student in an Organized Health Care Education/Training Program in Modesto, California
NPI 1750735833

Jennifer Tan is a Student in an Organized Health Care Education/Training Program based in Modesto, CA. Jennifer Tan practices in Modesto, CA and has the professional credentials of DO. The NPI Number for Jennifer Tan is 1750735833 and holds a License No. (California).

The current practice location address for Jennifer Tan is 401 Paradise Rd Ste E, Modesto, CA and can be reached out via phone at 209-576-3523.

Location: 401 Paradise Rd Ste E, Modesto, CA, 95351-3163
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1750735833
Provider Name
Jennifer Tan
Credential
DO
Provider Entity Type
Individual
Gender
Female
Address
401 Paradise Rd Ste E, Modesto, CA, 95351-3163
Phone Number
209-576-3523
Fax Number
Provider Enumeration Date
04/14/2016
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
401 Paradise Rd Ste E
City
Modesto
State
California
Zip
95351-3163
Phone Number
209-576-3523
Fax Number
person
Provider Business Mailing Address Details
Address
401 Paradise Rd Ste E
City
Modesto
State
California
Zip
95351-3163
Phone Number
209-576-3523
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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