TIFANY BREVALDO

KENT, WA
NPI1740069830
Former NameTIFANY VANTERPOOL
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy164W00000X Licensed Practical Nurse
(Licence: FL  5252259)
Enumeration Date2023-09-27
Last Update Date2023-09-27
Business Address
TIFANY BREVALDO LPN
4014 S 270TH ST
KENT, WA 98032-7139
Phone number: 253-945-4000
Mailing Address
TIFANY BREVALDO LPN
1812 S L ST
TACOMA, WA 98405-3962
Phone number: 904-814-3499
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