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Individual
TIFFANEY ELIZABETH BURG
Active
Individual
TIFFANEY ELIZABETH BURG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
REGISTERED NURSE
Taxonomy
Speciality
Code
Description
License number
State
133N00000X
Nutritionist
—
—
163W00000X
Registered Nurse
Primary
896615
TX
Other
Enumeration date
04/15/2024
Last updated
04/15/2024
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