TIFFANY HOSP

WATERLOO, IL
NPI1356037592
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363L00000X Nurse Practitioner
(Licence: IL  209027100)
Enumeration Date2023-04-12
Last Update Date2023-04-12
Business Address
TIFFANY HOSP NP
907 N ILLINOIS ROUTE 3
WATERLOO, IL 62298-1074
Phone number: 313-948-3055
Mailing Address
TIFFANY HOSP NP
14671 TELEGRAPH RD
REDFORD, MI 48239-3300
Phone number: 313-948-3055
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