NPI 1003436999

Johanna Shea-Fen Tan

Practitioner Student in an Organized Health Care Education/Training Program Bronx, NY

Practice location

Address: 111 E 210th St, Bronx, NY 10467-2401
Phone: (718) 920-4321

Registered specialties

Student in an Organized Health Care Education/Training Program Primary

Student, Health Care Taxonomy 390200000X

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Registry record

NPI: 1003436999
Entity type: Individual
Sex (as registered): Female
NPI issued: 20 Apr 2020
Record last updated: 20 Apr 2020

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.