KINGSLEY TAN

BALDWIN PARK, CA
NPI1477032621
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy363A00000X Physician Assistant
Enumeration Date2018-08-08
Last Update Date2018-08-08
Business Address
KINGSLEY TAN PA-C
4829 FORTIN ST
BALDWIN PARK, CA 91706-1957
Phone number: 626-290-7539
Mailing Address
KINGSLEY TAN PA-C
4829 FORTIN ST
BALDWIN PARK, CA 91706-1957
Phone number: 626-290-7539