Provider Information for 1124302716
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TIFFANY DAWN NATH LMFT
Sex: Female
NPI: 1124302716
Last Updated: 2011-10-01
Certification Date:
Certification Date:
Details
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| NPI | 1124302716 | ||||||||
| Enumeration Date | 2011-10-01 | ||||||||
| NPI Type | NPI-1 Individual | ||||||||
| Sole Proprietor | YES | ||||||||
| Status | Active | ||||||||
| Mailing Address | 134 N WASHINGTON ST APT 1 SONORA, CA 95370-4756 United States Phone: 209-743-3553 | Fax: | ||||||||
| Primary Practice Address | 134 N WASHINGTON ST APT 1 SONORA, CA 95370-4756 United States Phone: 209-743-3553 | Fax: | ||||||||
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