Individual
MRS. TIFFANY TARA SANCHEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
801 HAZEN ST STE C, PAW PAW, MI 49079-2008
(269) 655-3338
Mailing address
37106 22ND ST, KALAMAZOO, MI 49009-9219
(269) 370-1451
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
4704438017
MI
164W00000X
Licensed Practical Nurse
Primary
4703129524
MI
Other
Enumeration date
11/25/2024
Last updated
02/18/2026
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