Individual
TIFFANY LUNDEEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNM
Contact information
Practice address
2450 ASHBY AVE, BERKELEY, CA 94705-2067
(510) 204-3977
(510) 204-5429
Mailing address
325 DISTEL CIR, LOS ALTOS, CA 94022-1408
(510) 204-3977
(510) 204-5429
Taxonomy
Speciality
Code
Description
License number
State
367A00000X
Advanced Practice Midwife
Primary
11587
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004235900
—
CT
01
—
235694
STATE MEDICAL LICENSE
CA
Enumeration date
05/30/2006
Last updated
12/26/2024
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