TETRIS YLIZAH TAN

LONG BRANCH, NJ
NPI1104506005
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date2023-07-25
Last Update Date2023-07-25
Business Address
TETRIS YLIZAH TAN MD
300 2ND AVE
LONG BRANCH, NJ 07740-6303
Phone number: 732-222-5200
Mailing Address
TETRIS YLIZAH TAN MD
400 SAIRS AVE APT 7
LONG BRANCH, NJ 07740-5629
Phone number:
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