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TIFFANY HARDY KINTZER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PT

Contact information

Practice address
840 N AVENUE 66, LOS ANGELES, CA 90042-1508
(626) 395-7100
Mailing address
16 N SAN MATEO ST APT B, REDLANDS, CA 92373-4462
(909) 644-3242

Taxonomy

Speciality
Code
Description
License number
State
167G00000X
Licensed Psychiatric Technician
Primary
PT42966
CA

Other

Enumeration date
01/21/2025
Last updated
07/10/2025
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