Stacy Tan

NPI #1982057980 in Box Elder, Montana

Provider Information

NPI Number
1982057980
Entity Type
Individual
Name
Stacy Tan
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Licensed Vocational Nurse
Enumeration Date
Jul 14, 2016
Last Updated
Jul 14, 2016

Practice Location

Address
535 CLINIC RD E
State
Montana
ZIP Code
59521-8826
Phone
(406) 395-4395

Specialties & Taxonomy Codes

Specialty
Licensed Vocational Nurse

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