Individual
TIFFANY MAGALLANES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, CPNP
Contact information
Practice address
2801 SANTA MARIA WAY, SANTA MARIA, CA 93455-2118
(805) 934-5400
(805) 938-9207
Mailing address
2050 S BLOSSER RD, SANTA MARIA, CA 93458-7310
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
0991941
CO
363LP0200X
Pediatric Nurse Practitioner
Primary
95004127
CA
Other
Enumeration date
10/16/2015
Last updated
08/24/2016
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