Individual
MS. TIFFANY KAY ELLIOTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
777 S ALAMEDA ST FL 2, LOS ANGELES, CA 90021-1656
(213) 289-3578
Mailing address
777 S ALAMEDA ST FL 2, LOS ANGELES, CA 90021-1656
(213) 289-3578
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
—
—
175T00000X
Peer Specialist
Primary
MPSS-DUKHGC
CA
Other
Enumeration date
07/18/2024
Last updated
07/23/2024
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