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Individual

MS. TIFFANY SIDRA TAYLOR-MDUBA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
APRN

Contact information

Practice address
58375 TWENTYNINE PALMS HWY, SUITE B, YUCCA VALLEY, CA 92284
(760) 365-9305
Mailing address
7760 BALSA AVE, YUCCA VALLEY, CA 92284-8500
(267) 648-0351

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
818748
CA
363LP0200X
Pediatric Nurse Practitioner
Primary
95020695
CA

Other

Enumeration date
04/25/2022
Last updated
04/25/2022
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