Individual
TIFFANY GAYLE MARTELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSN, RN
Contact information
Practice address
120 KASEY CT, CRESCENT CITY, CA 95531-8570
(707) 951-0788
Mailing address
120 KASEY CT, CRESCENT CITY, CA 95531-8570
(707) 951-0788
Taxonomy
Speciality
Code
Description
License number
State
163WE0003X
Emergency Registered Nurse
Primary
95023443
CA
Other
Enumeration date
04/08/2026
Last updated
04/08/2026
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