MARY JANE TANAWAN SAN ANTONIO

FONTANA, CA
NPI1700066354
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy207Q00000X Family Medicine
(Licence: CA  A96973)
Enumeration Date2007-11-13
Last Update Date2022-02-10
Business Address
MARY JANE TANAWAN SAN ANTONIO MD
9961 SIERRA AVE
FONTANA, CA 92335-6720
Phone number: 909-427-3910
Mailing Address
MARY JANE TANAWAN SAN ANTONIO MD
9961 SIERRA AVE
FONTANA, CA 92335-6720
Phone number: 909-427-3910
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