BENJO TAN

SANTA ANA, CA
NPI1841966249
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: CA  95017880)
Enumeration Date2021-08-17
Last Update Date2022-09-12
Business Address
Mr. BENJO TAN
520 N MAIN ST STE 220
SANTA ANA, CA 92701-4623
Phone number: 714-543-5609
Mailing Address
Mr. BENJO TAN
382 N LEMON AVE # 401
WALNUT, CA 91789-2344
Phone number: 949-394-7094
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