Kelly, Tiffany

Kelly, Tiffany is an sole proprietor health care provider with primary practice located at 555 N Perris Blvd , Perris CA 92571. She recently has only one registered license in Other Service Providers / Case Manager/Care Coordinator, which is considered as her primary health care specialty. Kelly, Tiffany can be contacted via phone (951) 436-5366.

Contact Information

Primary practice address
555 N Perris Blvd Perris CA 92571
Phone: (951) 436-5366
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Case Manager/Care Coordinator 171M00000X

Profile Details

NPI number 1639615032
LBN Legal business name Kelly, Tiffany
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 10th, 2017
Last updated Oct 22nd, 2019 - about 7 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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