Individual
TIFFINIE N COURSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3838 MAJESTIC DR, LAS VEGAS, NV 89147-4437
(602) 379-6643
Mailing address
3838 MAJESTIC DR, LAS VEGAS, NV 89147-4437
(602) 379-6643
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
—
—
Other
Enumeration date
04/16/2024
Last updated
04/16/2024
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