Most Relevant Information
Provider Data
| NPI Number: | 1003274424 |
| Provider Name: | TIFFANY R BOOLS |
| Entity Type: | Individual |
| Taxonomy Code: | 164X00000X |
| Specialty: | Licensed Vocational Nurse |
| License Number: | VN 272711 |
Most Important Dates
| Enumeration Date: | 01/29/2016 |
| Last Updated: | 03/17/2018 |
Provider Practice Location
12447 3RD ST
YUCAIPA
CA
923994228
Practice Location Phone/Fax
| Phone: | 9097477341 |
| Fax: |
Provider Mailing Location
12447 3RD ST
YUCAIPA
CA
923994228
Provider Mailing Phone/Fax
| Phone: | 9097477341 |
| Fax: |