Individual
TIFFANY MIRIE CHANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4280 TYNDALL AVE, LAS VEGAS, NV 89191-6056
(201) 783-0546
Mailing address
8104 SILK BARGAIN ST, LAS VEGAS, NV 89131-3939
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
0506544
NV
Other
Enumeration date
08/25/2020
Last updated
08/25/2020
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