DR. Graciela Susana Tanner, PA
NPI #1114768736 in San Juan, Puerto Rico
Provider Information
- NPI Number
- 1114768736
- Entity Type
- Individual
- Name
- DR. Graciela Susana Tanner, PA
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Physician Assistant - Medical
- Credential
- PA
- Enumeration Date
- Jun 6, 2024
- Last Updated
- Jun 6, 2024
Practice Location
- Address
- PO BOX 11913
- City
- San Juan
- State
- Puerto Rico
- ZIP Code
- 00922-1913
- Phone
- (787) 999-0753
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physician Assistant |
| Physician Assistant - Medical — Medical |
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