Individual
TIFFANY SHENA THOMAS-DOUGLAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1330 ARNOLD DR STE 142, MARTINEZ, CA 94553-6538
(925) 665-5210
Mailing address
1330 ARNOLD DR STE 142, MARTINEZ, CA 94553-6538
(925) 405-7175
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
—
373H00000X
Day Training/Habilitation Specialist
—
—
Other
Enumeration date
06/03/2025
Last updated
06/10/2025
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