Tiana Phan
NPI #1275819062 in Yucaipa, California
Provider Information
- NPI Number
- 1275819062
- Entity Type
- Individual
- Name
- Tiana Phan
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Pharmacist
- Enumeration Date
- Oct 25, 2011
- Last Updated
- Oct 25, 2011
Practice Location
- Address
- 34503 YUCAIPA BLVD
- City
- Yucaipa
- State
- California
- ZIP Code
- 92399-4129
- Phone
- (909) 790-7464
Specialties & Taxonomy Codes
| Specialty |
|---|
| Pharmacist |
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