Individual
MRS. TIFFANI DIANE DOUGLAS MIKSCH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
44150 W MARICOPA CASA GRANDE HWY, MARICOPA, AZ 85138-5900
(520) 568-5100
(520) 568-5110
Mailing address
19365 N SANDALWOOD DR, MARICOPA, AZ 85138-3006
(520) 709-9498
(520) 568-5110
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN171041
AZ
Other
Enumeration date
11/21/2011
Last updated
11/21/2011
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