Individual
TIFFANY CORNELIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CPC-I
Contact information
Practice address
8414 FARM RD STE 180, LAS VEGAS, NV 89131-8007
(702) 861-6822
Mailing address
8414 FARM RD STE 180, LAS VEGAS, NV 89131-8007
(702) 861-6822
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
CI3189
NV
Other
Enumeration date
04/19/2022
Last updated
10/31/2022
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