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Individual

TIFFANY HAMM

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
47915 OASIS ST, INDIO, CA 92201-6950
(760) 863-8650
Mailing address
34140 REBECCA WAY APT 52, RANCHO MIRAGE, CA 92270-1886
(760) 812-8713

Taxonomy

Speciality
Code
Description
License number
State
273R00000X
Psychiatric Hospital Unit
Primary

Other

Enumeration date
03/20/2020
Last updated
03/20/2020
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