Individual
TIFFANY DANIELLE CUE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CNA
Contact information
Practice address
3532 ASH ST, LAKE ELSINORE, CA 92530-1875
(951) 760-0537
Mailing address
3532 ASH ST, LAKE ELSINORE, CA 92530-1875
(951) 760-0537
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
00796060
CA
Other
Enumeration date
04/11/2012
Last updated
04/11/2012
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