Individual
TIFFANY WARREN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
48745 3 POINTS RD, LAKE HUGHES, CA 93532-1122
(661) 724-0001
(661) 481-3392
Mailing address
8140 SUNLAND BLVD, SUN VALLEY, CA 91352-3948
(818) 582-8832
Taxonomy
Speciality
Code
Description
License number
State
247200000X
Other Technician
Primary
67559
CA
Other
Enumeration date
01/25/2018
Last updated
02/19/2020
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