NICHOLAS GAN TAN

VALLEJO, CA
NPI1346657327
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy213ES0103X Podiatrist Foot & Ankle Surgery
(Licence: CA  EL6709)
Enumeration Date2014-07-22
Last Update Date2021-12-06
Business Address
NICHOLAS GAN TAN D.P.M.
975 SERENO DR
VALLEJO, CA 94589-2441
Phone number: 909-633-2881
Mailing Address
NICHOLAS GAN TAN D.P.M.
521 GREENBRIAR CIR
PETALUMA, CA 94954-3528
Phone number: 909-633-2881
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