KEZIAH ELLERY LAMEYRA TAN

ORANGE, CA
NPI1154123388
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date2025-03-26
Last Update Date2025-03-26
Business Address
KEZIAH ELLERY LAMEYRA TAN MD
101 THE CITY DR S STE 400
ORANGE, CA 92868-3201
Phone number: 714-456-5691
Mailing Address
KEZIAH ELLERY LAMEYRA TAN MD
1110 W TOWN AND COUNTRY RD UNIT 446
ORANGE, CA 92868-5622
Phone number: 714-716-6427