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Individual

DR. TIFFANY MA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
M.D., M.P.H

Contact information

Practice address
1190 WAIANUENUE AVE, HILO, HI 96720-2089
(925) 487-0372
Mailing address
1190 WAIANUENUE AVE, HILO, HI 96720-2089
(925) 487-0372

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
A119526
CA
207R00000X
Internal Medicine Physician
Primary
MD16486
HI

Other

Enumeration date
12/09/2011
Last updated
10/27/2023
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