SIUSHAN TANG VUONG

MEMPHIS, TN
NPI1134734817
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy363A00000X Physician Assistant
Additional Taxonomies363A00000X Physician Assistant
(Licence: AZ  9399)
Enumeration Date2020-09-10
Last Update Date2023-10-30
Business Address
SIUSHAN TANG VUONG PA
102 CLARK PL APT S
MEMPHIS, TN 38104-2419
Phone number: 515-867-0223
Mailing Address
SIUSHAN TANG VUONG PA
102 CLARK PL APT S
MEMPHIS, TN 38104-2419
Phone number: 515-867-0223
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