ALTA-GRACE L TAN

NORTHRIDGE, CA
NPI1295839322
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy103T00000X Psychologist
(Licence: CA  PSY18653)
Enumeration Date2006-09-11
Last Update Date2012-01-20
Business Address
-- ALTA-GRACE L TAN PsyD
17075 DEVONSHIRE STREET STE 204
NORTHRIDGE, CA 91325-5408
Phone number: 818-368-8929
Mailing Address
-- ALTA-GRACE L TAN PsyD
17075 DEVONSHIRE STREET STE 204
NORTHRIDGE, CA 91325-5408
Phone number: 818-368-8929
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