Individual
TIFFANY AVERY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.AC.
Contact information
Practice address
3303 E BASELINE RD, GILBERT, AZ 85234-2738
(480) 269-2656
Mailing address
3303 E BASELINE RD, GILBERT, AZ 85234
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
1090
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1090
TIRWEST - VETERANS
AZ
05
—
1090
—
AZ
Enumeration date
07/26/2017
Last updated
06/11/2019
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