Individual
TIFFANY JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
3212 WYOMING BLVD NE APT 8D, ALBUQUERQUE, NM 87111-9446
(208) 422-1145
(208) 422-1038
Mailing address
3212 WYOMING BLVD NE APT 8D, ALBUQUERQUE, NM 87111-9446
(208) 422-1145
(208) 422-1038
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
320778
TX
Other
Enumeration date
12/18/2024
Last updated
12/18/2024
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