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Individual

TIFFANY MARSHALL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
7011 EAST AVE, LIVERMORE, CA 94550-9610
(925) 294-4713
(925) 294-2392
Mailing address
326 W 12TH ST, TRACY, CA 95376-3402

Taxonomy

Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
13015-14
CALIFORNIA MA CERTIFY BOARD NUMBER
CA
Enumeration date
01/30/2015
Last updated
01/30/2015
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