JERICK TAN

DUARTE, CA
NPI1356842843
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363LG0600X Nurse Practitioner, Gerontology
(Licence: CA  95008276)
Enumeration Date2018-02-21
Last Update Date2020-11-13
Business Address
JERICK TAN NP
1500 E DUARTE ROAD
DUARTE, CA 91010
Phone number: 626-256-4673
Mailing Address
JERICK TAN NP
17952 E EDNA PL
COVINA, CA 91722-3201
Phone number: 626-673-2210