Individual
MISS TIFFANY MICHELLE FENTERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NA
Contact information
Practice address
420 E CANAL DR, TURLOCK, CA 95380-3936
(209) 669-2583
Mailing address
965 BRENTWOOD AVE, GUSTINE, CA 95322-1713
(209) 728-4765
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
—
Other
Enumeration date
10/24/2008
Last updated
10/24/2008
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