Individual
TIFANY CABALLERO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
7404 W HOOD PL, KENNEWICK, WA 99336-6718
(509) 579-4097
Mailing address
7404 W HOOD PL, KENNEWICK, WA 99336-6718
(509) 579-4097
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
08/06/2024
Last updated
08/06/2024
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