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1477306991
TIFFANY THANH QUACH
COSTA MESA, CA
NPI
1477306991
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: CA 95028902)
Enumeration Date
2024-04-08
Last Update Date
2024-04-16
Business Address
TIFFANY THANH QUACH PMHNP-BC
301 VICTORIA ST
COSTA MESA, CA 92627-1995
Phone number: 949-642-2734
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Mailing Address
TIFFANY THANH QUACH PMHNP-BC
301 VICTORIA ST
COSTA MESA, CA 92627-1995
Phone number: 408-316-0479
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