Organization
TIFFANY ANDERSON TERRELL, DO. INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TIFFANY ANDERSON TERRELL D.O. (PRESIDENT/OWNER)
(909) 548-4900
Entity
Organization
Contact information
Practice address
5253 RIVERSIDE DR, CHINO, CA 91710-4151
(909) 464-2845
(909) 464-2848
Mailing address
13193 CENTRAL AVE, SUITE 210, CHINO, CA 91710-4179
(909) 548-4900
(909) 548-4904
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
20A8506
CA
Other
Enumeration date
04/22/2010
Last updated
11/09/2010
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