Individual
TIFFANY MARIE DE LEON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
1001 NW 9TH ST, TULIA, TX 79088-1021
(806) 654-2399
Mailing address
1001 NW 9TH ST, TULIA, TX 79088-1021
Taxonomy
Speciality
Code
Description
License number
State
163WX0003X
Inpatient Obstetric Registered Nurse
Primary
1042122
TX
Other
Enumeration date
05/02/2022
Last updated
05/02/2022
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