TIFFANY KAY LAGE

PEORIA, AZ
NPI1700018769
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy164W00000X Licensed Practical Nurse
(Licence: AZ  LP044259)
Enumeration Date2009-08-10
Last Update Date2009-08-10
Business Address
-- TIFFANY KAY LAGE LPN
21233 N 79TH DR
PEORIA, AZ 85382-4454
Phone number: 623-313-2342
Mailing Address
-- TIFFANY KAY LAGE LPN
21233 N 79TH DR
PEORIA, AZ 85382-4454
Phone number: 623-313-2342