Individual
TIFFANY HANZE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
5771 W EUGIE AVE, GLENDALE, AZ 85304-1241
(602) 277-7526
Mailing address
7100 W GRANDVIEW RD APT 2174, PEORIA, AZ 85382-4928
(623) 707-5581
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
8755
AZ
Other
Enumeration date
09/15/2021
Last updated
11/10/2022
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