TIFFANY KAE PROFSKY

SALT LAKE CITY, UT
NPI1437447190
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: UT  4731862-4405)
Enumeration Date2011-07-15
Last Update Date2011-07-15
Business Address
-- TIFFANY KAE PROFSKY NP-C
295 CHIPETA WAY
SALT LAKE CITY, UT 84108-1287
Phone number: 801-587-7416
Mailing Address
-- TIFFANY KAE PROFSKY NP-C
295 CHIPETA WAY
SALT LAKE CITY, UT 84108-1287
Phone number: 801-587-7416