Individual provider · Type 1 NPI

Shirley Tan

Student in an Organized Health Care Education/Training Program · Fontana, CA

NPI number 1811747652 Active

Practice location

17234 Valley Blvd, Building A
Fontana, CA 92335-6720

Call (833) 574-2273 Map

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1811747652

Shirley Tan's National Provider Identifier is 1811747652, issued on Mar 25, 2024. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Fontana, CA. The record was last updated on Oct 28, 2024.