Individual
TIFFANY DIAL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
7140 DEER CANYON AVE NE, ALBUQUERQUE, NM 87113-2274
(505) 300-6135
Mailing address
7140 DEER CANYON AVE NE, ALBUQUERQUE, NM 87113-2274
(505) 300-6135
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
L17901
NM
Other
Enumeration date
05/28/2026
Last updated
05/28/2026
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