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TIFFANY WARREN
>> Technician, Other >> Technologists, Technicians & Other Technical Service ProvidersRegistrant NPI Number: 1730687732
Individual Registrant: TIFFANY WARREN
Gender: F
Not Sole Proprietor
Gender: F
Not Sole Proprietor
Location and contact information for practice:
48745 3 POINTS RD LAKE HUGHES, CA 93532-1122 US
Tel: 661-724-0001 Fax: 661-481-3392
Tel: 661-724-0001 Fax: 661-481-3392
Contact information for business:
8140 SUNLAND BLVD SUN VALLEY, CA 91352-3948 US
Tel: 818-582-8832 Fax: --
Tel: 818-582-8832 Fax: --
Registration Information:
NPI: 1730687732
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| Y | 247200000X | Technologists, Technicians & Other Technical Service Providers Technician, Other | CA | 67559 |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
