Individual
TIARA EDWARDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5830 E 2ND ST STE 8, CASPER, WY 82609-4308
(818) 724-9517
Mailing address
7800 TOPANGA CANYON BLVD APT 101, CANOGA PARK, CA 91304-5554
(323) 404-5212
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
171W00000X
Contractor
—
CA
Other
Enumeration date
04/03/2023
Last updated
04/03/2023
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