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1134823255
TIFFANY RENEE LAFAYETTE
CULVER CITY, CA
NPI
1134823255
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
163WP0808X Registered Nurse, Psych/Mental Health
(Licence: CA 805481)
Enumeration Date
2023-03-30
Last Update Date
2023-03-30
Business Address
TIFFANY RENEE LAFAYETTE
9808 VENICE BLVD STE 505
CULVER CITY, CA 90232-6818
Phone number: 310-945-3350
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Mailing Address
TIFFANY RENEE LAFAYETTE
9808 VENICE BLVD STE 505
CULVER CITY, CA 90232-6818
Phone number: 310-945-3350
Copy
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