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NPI Code Detail

MEDICARE: TIFFANY DEERING

MEDICARE:   TIFFANY  DEERING
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1183500000XPharmacistRPH 59958CA

General Provider Information

NPI Number : 1093144594
Entity Type Code : Individual
Provider Name (Legal Business Name) : TIFFANY DEERING
Provider Business Mailing Address
First Line : 9 DIEGO DR
Second Line :
City : SAN RAFAEL
State : CA
Zip : 94903-2367
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 9 DIEGO DR
Second Line :
City : SAN RAFAEL
State : CA
Zip : 94903-2367
Country : US
Telephone Number : 707-318-0436
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/05/2013
Last Update Date : 11/05/2013

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Directions to “ TIFFANY DEERING ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.