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Individual

TIFFANY ALWAY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
DPM

Contact information

Practice address
3258 TIMBER FALL CT, EUREKA, CA 95503-4888
(707) 441-1112
(707) 441-1711
Mailing address
3258 TIMBER FALL CT, EUREKA, CA 95503-4888
(707) 441-1112
(707) 441-1711

Taxonomy

Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
E4464
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1639465206
CA
Enumeration date
06/06/2006
Last updated
08/14/2012
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