Most Relevant Information
Provider Data
| NPI Number: | 1003574658 |
| Provider Name: | XIAOYAN TAN |
| Entity Type: | Individual |
| Taxonomy Code: | 3747P1801X |
| Specialty: | Technician |
| License Number: |
Most Important Dates
| Enumeration Date: | 12/01/2021 |
| Last Updated: | 12/01/2021 |
Provider Practice Location
6767 W TROPICANA AVE STE 206
LAS VEGAS
NV
891034760
Practice Location Phone/Fax
| Phone: | 9179718025 |
| Fax: |
Provider Mailing Location
6767 W TROPICANA AVE STE 206
LAS VEGAS
NV
891034760
Provider Mailing Phone/Fax
| Phone: | 9179718025 |
| Fax: |