ENRICO TAN

ATHENS, OH
NPI1346260429
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy213E00000X Podiatrist
(Licence: OH  36002613)
Enumeration Date2006-07-20
Last Update Date2011-02-14
Business Address
Dr. ENRICO TAN D.P.M.
410 E STATE ST
ATHENS, OH 45701-1819
Phone number: 740-592-2366
Mailing Address
Dr. ENRICO TAN D.P.M.
410 E STATE ST
ATHENS, OH 45701-1819
Phone number: 740-592-2366