Phan, Tiana

Phan, Tiana is an sole proprietor health care provider with primary practice located at 34503 Yucaipa Blvd , Yucaipa CA 92399-4129. She recently has only one registered license in Pharmacy Service Providers / Pharmacist, which is considered as her primary health care specialty. Phan, Tiana can be contacted via phone (909) 790-7464.

Contact Information

Primary practice address
34503 Yucaipa Blvd Yucaipa CA 92399-4129
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Pharmacy Service Providers / Pharmacist 183500000X 64934 California

Profile Details

NPI number 1275819062
LBN Legal business name Phan, Tiana
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 25th, 2011
Last updated Oct 25th, 2011 - about 14 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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