Individual
TIFNEY MADALENA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
1623 HOSPITAL LOOP, OWYHEE, NV 89832
(775) 757-2415
Mailing address
1623 HOSPITAL LOOP, OWYHEE, NV 89832
(775) 757-2415
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
LP042430
AZ
Other
Enumeration date
08/28/2013
Last updated
08/28/2013
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