Individual
MRS. TIFFANY SACHIKO WEST
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
234 GOODMAN ST, DEPT OF EMERGENCY MEDICINE, CINCINNATI, OH 45219-2364
(513) 245-3663
(513) 475-7529
Mailing address
2830 VICTORY PKWY, CENTRAL CREDENTIALING DEPT LL30A, CINCINNATI, OH 45206-1785
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
50.003300
OH
363AM0700X
Medical Physician Assistant
Primary
PA1606
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100143910
—
KY
Enumeration date
08/25/2010
Last updated
08/18/2011
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