TIFFANY ENGLE AVINGER

SHREVEPORT, LA
NPI1316130255
Former NameTIFFANY ADDERLEY BODENHEIMER
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy174400000X Specialist
(Licence: LA  06620)
Enumeration Date2007-08-23
Last Update Date2020-06-09
Business Address
Mrs. TIFFANY ENGLE AVINGER MPT
510 E STONER AVE
SHREVEPORT, LA 71101-4243
Phone number: 318-221-8411
Mailing Address
Mrs. TIFFANY ENGLE AVINGER MPT
9819 PENNINE CT
SHREVEPORT, LA 71118-4841
Phone number: 318-671-9034
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