Most Relevant Information
Provider Data
| NPI Number: | 1003229865 |
| Provider Name: | TIFFANY NOLLENBERGER LA.C |
| Entity Type: | Individual |
| Taxonomy Code: | 171100000X |
| Specialty: | Acupuncturist |
| License Number: | AC14864 |
Most Important Dates
| Enumeration Date: | 06/09/2014 |
| Last Updated: | 06/09/2014 |
Provider Practice Location
550 PALM ST
SANTA CRUZ
CA
95060
Practice Location Phone/Fax
| Phone: | 8312478145 |
| Fax: |
Provider Mailing Location
121 JOHN ST
SANTA CRUZ
CA
95060
Provider Mailing Phone/Fax
| Phone: | 8312478145 |
| Fax: |