Individual
MARIA TIFFANY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
11361 N 99TH AVE STE 600, PEORIA, AZ 85345-5470
(602) 650-1212
(602) 650-1616
Mailing address
11361 N 99TH AVE STE 600, PEORIA, AZ 85345-5470
(602) 650-1212
(602) 650-1616
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
LP046388
AZ
Other
Enumeration date
10/28/2022
Last updated
10/28/2022
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