Individual
TIFFANY MICHELLE JANES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
4338 W THOMAS RD STE 173, PHOENIX, AZ 85031-3878
(602) 429-2239
(602) 559-5436
Mailing address
4338 W THOMAS RD STE 173, PHOENIX, AZ 85031-3878
(623) 570-6964
(480) 559-5436
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
7591
AZ
Other
Enumeration date
10/16/2018
Last updated
09/20/2019
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