Individual
TIFFANY LLAMAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
133 ASH ST, MORENCI, AZ 85540-9640
(928) 865-4844
Mailing address
133 ASH ST, MORENCI, AZ 85540-9640
(928) 865-4844
Taxonomy
Speciality
Code
Description
License number
State
385HR2055X
Child Mental Illness Respite Care
Primary
—
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
284114
—
AZ
Enumeration date
01/21/2008
Last updated
01/21/2008
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