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Individual

TIFFANY ANN LOIURIO

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
OTR/L

Contact information

Practice address
260 E CHASE AVE, SUITE 204, EL CAJON, CA 92020-6325
(619) 647-6157
Mailing address
3765 BOUNDARY ST, UNIT 5, SAN DIEGO, CA 92104-3833
(619) 929-1232

Taxonomy

Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
OT16338
CA

Other

Enumeration date
09/08/2016
Last updated
09/08/2016
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