SOVANNARY TAN

BRONX, NY
NPI1326397431
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy163W00000X Registered Nurse
(Licence: NY  57020)
Enumeration Date2012-09-05
Last Update Date2012-09-05
Business Address
-- SOVANNARY TAN
111 E 210TH STREET
BRONX, NY 10467
Phone number: 718-920-4316
Mailing Address
-- SOVANNARY TAN
11 HURON ROAD
YONKERS, NY 10710
Phone number:
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