Individual
TIFFANY S BOYER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
6872 WADSWORTH BLVD UNIT B, ARVADA, CO 80003-3406
(303) 499-1920
Mailing address
6872 WADSWORTH BLVD UNIT B, ARVADA, CO 80003-3406
(303) 499-1920
Taxonomy
Speciality
Code
Description
License number
State
374700000X
Technician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
MEDICAID
—
CO
Enumeration date
03/02/2021
Last updated
03/02/2021
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