JAN RAYNDELL AMPARO TAN

CARSON, CA
NPI1730053430
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: CA  95028250)
Enumeration Date2025-10-03
Last Update Date2025-10-03
Business Address
JAN RAYNDELL AMPARO TAN NP
22111 MAIN ST UNIT 3
CARSON, CA 90745-3057
Phone number: 310-279-9834
Mailing Address
JAN RAYNDELL AMPARO TAN NP
22111 MAIN ST UNIT 3
CARSON, CA 90745-3057
Phone number: