VIVIAN V TAN

ELKRIDGE, MD
NPI1649787011
Former NameVIVIAN C VALDEZ
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: MD  R164835)
Enumeration Date2018-01-05
Last Update Date2023-04-14
Business Address
Mrs. VIVIAN V TAN NP-C
6480 OLD WATERLOO RD
ELKRIDGE, MD 21075
Phone number: 410-799-0291
Mailing Address
Mrs. VIVIAN V TAN NP-C
6480 OLD WATERLOO RD
ELKRIDGE, MD 21075-6508
Phone number: 410-799-0291