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NPI Code Detail

MEDICARE: MRS. TIFFANY LEIGH GARCIA

MEDICARE: MRS. TIFFANY LEIGH GARCIA
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
1172V00000XCommunity Health Worker

General Provider Information

NPI Number : 1497095780
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. TIFFANY LEIGH GARCIA
Provider Business Mailing Address
First Line : 1050 E FLAMINGO RD STE 107
Second Line :
City : LAS VEGAS
State : NV
Zip : 89119-7429
Country : US
Telephone Number : 702-733-8098
Fax Number : 702-215-7309
Provider Business Practice Location Address
First Line : 1050 E FLAMINGO RD STE 107
Second Line :
City : LAS VEGAS
State : NV
Zip : 89119-7429
Country : US
Telephone Number : 702-733-8098
Fax Number : 702-215-7309
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/22/2013
Last Update Date : 02/22/2013

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Directions to “ MRS. TIFFANY LEIGH GARCIA ” Practice Location

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