Individual
TIFFANY ROSHAWN WIMBISH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2617 W SUNLAND AVE, PHOENIX, AZ 85041-4502
(602) 814-9633
Mailing address
2617 W SUNLAND AVE, PHOENIX, AZ 85041-4502
(602) 814-9633
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
286189
AZ
Other
Enumeration date
05/20/2025
Last updated
05/20/2025
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