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Individual
MS. TIFFANY ALPHA MONTES
Active
Individual
MS. TIFFANY ALPHA MONTES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
845089
CA
363L00000X
Nurse Practitioner
Primary
95017406
CA
363LF0000X
Family Nurse Practitioner
95017406
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1295384428
MEDICAL
CA
05
—
CA482046
—
CA
Enumeration date
09/10/2019
Last updated
04/29/2022
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