Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 176B00000X | Midwife | LM551 | CA |
NPI | 1144632019 |
---|---|
Provider Name | Tiffany Alblinger |
First Address | Vista, CA 92083-5627 |
Second Address | Poway, CA 92064-4038 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 28/05/2014 |
Last Update Date | 01/02/2019 |