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1396298691
RIZA TAN
BAYSIDE, NY
NPI
1396298691
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
164W00000X Licensed Practical Nurse
(Licence: NY 277479-1)
Enumeration Date
2016-08-03
Last Update Date
2016-08-03
Business Address
-- RIZA TAN
3240 201ST ST
BAYSIDE, NY 11361-1016
Phone number: 718-428-6719
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Mailing Address
-- RIZA TAN
5130 SIMONSON ST
ELMHURST, NY 11373-4253
Phone number: 917-963-6528
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