Most Relevant Information
Provider Data
| NPI Number: | 1003053463 |
| Provider Name: | TIFFANY LYN SOFIE |
| Entity Type: | Individual |
| Taxonomy Code: | 101YA0400X |
| Specialty: | Counselor |
| License Number: |
Most Important Dates
| Enumeration Date: | 01/07/2009 |
| Last Updated: | 01/07/2009 |
Provider Practice Location
540 S EREMLAND DR
COVINA
CA
917233186
Practice Location Phone/Fax
| Phone: | 6269661577 |
| Fax: |
Provider Mailing Location
540 S EREMLAND DR
COVINA
CA
917233186
Provider Mailing Phone/Fax
| Phone: | 6269661577 |
| Fax: |