Individual
MRS. TIFFANY PELLEGRINI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
464 GREEN MACAW WAY, HENDERSON, NV 89012-5821
(702) 498-4686
Mailing address
464 GREEN MACAW WAY, HENDERSON, NV 89012-5821
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
06/03/2008
Last updated
06/03/2008
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