Tiffany Fawn Boggs
NPI #1922822105 in Clearlake Oaks, California
Provider Information
- NPI Number
- 1922822105
- Entity Type
- Individual
- Name
- Tiffany Fawn Boggs
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Peer Specialist
- Enumeration Date
- Nov 13, 2024
- Last Updated
- Nov 13, 2024
Practice Location
- Address
- 14715 E. HWY 20
- Address 2
- 14725 CATHOLIC CHURCH RD.
- City
- Clearlake Oaks
- State
- California
- ZIP Code
- 95423-9542
- Phone
- (707) 998-1800
Specialties & Taxonomy Codes
| Specialty |
|---|
| Peer Specialist |
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