Individual
TIFFANY LYNNE BROKAW
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
411 TANGLEWOOD CT, PASO ROBLES, CA 93446-4486
(805) 540-8452
Mailing address
411 TANGLEWOOD CT, PASO ROBLES, CA 93446-4486
(805) 540-8452
Taxonomy
Speciality
Code
Description
License number
State
163WG0000X
General Practice Registered Nurse
Primary
462035
CA
Other
Enumeration date
01/07/2021
Last updated
01/07/2021
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