BEGIN:VCARD VERSION:3.0 FN:Tiffany Ruland N:Ruland;Tiffany;;; TITLE:Personal Care Attendant TEL;TYPE=WORK,VOICE:+17027510356 URL:https://www.gale.care/providers/nv/las-vegas/tiffany-ruland-1083494215 NOTE:NPI 1083494215. From the NPPES registry (CMS)\, file of 2026-06-08. No t affiliated with Gale. X-NPI:1083494215 END:VCARD