Individual
TIFFANY ANN AUSTIN CLARKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1666 S GRANT ST APT 6, SAN MATEO, CA 94402-2633
(707) 501-3123
Mailing address
1666 S GRANT ST APT 6, SAN MATEO, CA 94402-2633
(707) 501-3123
Taxonomy
Speciality
Code
Description
License number
State
374J00000X
Doula
Primary
HHKMY66X
CA
Other
Enumeration date
12/05/2023
Last updated
12/05/2023
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