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Individual

ANA LACEY TILGHMAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA

Contact information

Practice address
2755 HERNDON AVE, CLOVIS, CA 93611-6800
(559) 324-4000
Mailing address
6430 N BRIARWOOD AVE, FRESNO, CA 93711-1101
(559) 840-6483

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
56660
CA

Other

Enumeration date
03/20/2019
Last updated
03/20/2019
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