TIFFANY TIRTADINATA

SAN FRANCISCO, CA
NPI1457819815
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: CA  95002874)
Enumeration Date2019-03-05
Last Update Date2019-03-05
Business Address
TIFFANY TIRTADINATA NP
1001 POTRERO AVE
SAN FRANCISCO, CA 94110-3594
Phone number: 415-206-8000
Mailing Address
TIFFANY TIRTADINATA NP
156 SERRA LN
DALY CITY, CA 94015-2782
Phone number: 650-515-5709
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