Individual
TIFFANY WHITE MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
19845 N COSTA DEL SOL, MARICOPA, AZ 85138-5431
(520) 568-5170
Mailing address
36895 W OLIVETO AVE, MARICOPA, AZ 85138-4931
(262) 515-5957
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
238893
AZ
Other
Enumeration date
08/12/2020
Last updated
08/12/2020
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