Individual
TIFFANY R FREEMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1200 N STATE ST, LOS ANGELES, CA 90033-1029
(323) 226-6712
(323) 226-7274
Mailing address
1200 N STATE ST, LOS ANGELES, CA 90033-1029
(323) 226-6712
(323) 226-7274
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA16463
CA
Other
Enumeration date
07/14/2008
Last updated
07/14/2008
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