Jessica Tang
Student in an Organized Health Care Education/Training Program in Santa Clara, CA. Individual provider (NPI-1).
NPI number1902425861
StatusActive
Last updated in NPPESApr 10, 2020
Details
- NPI
- 1902425861
- Entity type
- Individual (NPI-1)
- Name
- Jessica Tang
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Apr 10, 2020
- Certification date
- Apr 10, 2020
- Last updated
- Apr 10, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 390200000X | Student in an Organized Health Care Education/Training Program | – | – | Yes |
Practice location
710 Lawrence Expy Dept 384Santa Clara, CA 95051-5173
Phone 408-851-1000
Mailing address
710 Lawrence Expy Dept 384Santa Clara, CA 95051-5173
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