Individual
TIFFANIE WEEBOTHEE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3321 CANDELARIA RD NE STE 250, ALBUQUERQUE, NM 87107-1966
(505) 589-6480
Mailing address
1605 CEDAR RIDGE DR NE, ALBUQUERQUE, NM 87112-4504
(505) 589-6480
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
NM
Other
Enumeration date
09/25/2025
Last updated
12/30/2025
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