Individual provider · Type 1 NPI
Tiffany Blackmon
Specialist · Rodeo, CA
NPI number
1881002095
Active
Practice location
700 Shelley Ct
Rodeo, CA 94572-2009
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Specialist Primary | 174400000X | None listed |
Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
About NPI 1881002095
Tiffany Blackmon's National Provider Identifier is 1881002095, issued on Jul 31, 2014. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Rodeo, CA. The record was last updated on Jul 31, 2014.