Individual
TIFFANY SANDERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
78-1377 BISHOP RD, HOLUALOA, HI 96725-9754
(808) 322-6712
Mailing address
PO BOX 1156, KEALAKEKUA, HI 96750-1156
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
95046507
CA
163W00000X
Registered Nurse
Primary
98143
HI
Other
Enumeration date
02/04/2025
Last updated
02/04/2025
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