Cereneche, Mary Tiffany

Cereneche, Mary Tiffany is an individual health care provider with primary practice located at 333 Thalia St , Laguna Beach CA 92651-2713. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Primary Care, which is considered as her primary health care specialty. Cereneche, Mary Tiffany can be contacted via phone (949) 499-0577.

Contact Information

Primary practice address
333 Thalia St Laguna Beach CA 92651-2713
Phone: (949) 499-0577
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Primary Care 363LP2300X NP95019956 California

Profile Details

NPI number 1093446957
LBN Legal business name Cereneche, Mary Tiffany
Credentials NP-C
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 22nd, 2022
Last updated Jun 22nd, 2022 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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