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Mr. OLIVER BRYAN TAN NGAN Registered Nurse

Individual Provider (NPI-1) Active

Registered Nurse, Administrator

Provider Information

NPI Number
1396587077
Provider Type
Individual Provider (NPI-1)
Credentials
Registered Nurse
Status
Active

Contact & Location

Address
2345 NEW BRIGHTON LN, STOCKTON, CA, 952094290
Phone
(559) 380-6641
Fax
(209) 451-2561

Specialties & Taxonomies

Registered Nurse, General Practice License: CA #735801
Registered Nurse, Hospice License: CA #735801
Registered Nurse, Administrator Primary License: CA #735801

All Addresses

MAILING

1737 PAGOLA AVE

MANTECA, CA, 953378628

(559) 380-6641

LOCATION

2345 NEW BRIGHTON LN

STOCKTON, CA, 952094290

(559) 380-6641