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SOVANNARY TAN
Registered Nurse
NPI: 1326397431IndividualAccepts Medicare
Specialties, Licenses & Credentials
Registered NursePrimary
Registered Nurse
Code: 163W00000X
57020(NY)
CMS Specialties
PrimaryCERTIFIED REGISTERED NURSE ANESTHETIST (CRNA)
Education
OTHER
Class of 2012
Contact & Hours
- Address
- 111 E 210TH STREET
BRONX, NY 10467 - Phone
- (718) 920-4316
Quick Facts
- NPI
- 1326397431
- Entity Type
- Individual
- Gender
- Female
- Medicare
- Accepted
- Specialties
- 1
- Locations
- 1
- Years in Practice
- 14
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