AUSTIN FAN

LA JOLLA, CA
NPI1346008109
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date2024-03-07
Last Update Date2024-03-07
Business Address
AUSTIN FAN
9500 GILMAN DR
LA JOLLA, CA 92093-5004
Phone number: 858-534-0830
Mailing Address
AUSTIN FAN
9500 GILMAN DR
LA JOLLA, CA 92093-0004
Phone number:
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