Wallace, Tiffani

Wallace, Tiffani is an individual health care provider with primary practice located at 2509 W 115Th Pl , Hawthorne CA 90250-1968. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Other Service Providers / Case Manager/Care Coordinator. Other Service Providers / Case Manager/Care Coordinator is her primary health care specialty. Wallace, Tiffani can be contacted via phone (323) 961-0129.

Contact Information

Primary practice address
2509 W 115Th Pl Hawthorne CA 90250-1968
Phone: (323) 961-0129
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X
Other Service Providers / Case Manager/Care Coordinator 171M00000X

Profile Details

NPI number 1598378234
LBN Legal business name Wallace, Tiffani
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 24th, 2020
Last updated Aug 27th, 2020 - 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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