Most Relevant Information
Provider Data
| NPI Number: | 1003659798 |
| Provider Name: | SOPHIA SHEN RUEY TANG |
| Entity Type: | Individual |
| Taxonomy Code: | 390200000X |
| Specialty: | Student in an Organized Health Care Education/Training Program |
| License Number: |
Most Important Dates
| Enumeration Date: | 06/18/2024 |
| Last Updated: | 06/18/2024 |
Provider Practice Location
9501 EUCLID AVE
CLEVELAND
OH
441064711
Practice Location Phone/Fax
| Phone: | 2163680575 |
| Fax: |
Provider Mailing Location
9501 EUCLID AVE
CLEVELAND
OH
441064711
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |