TRISHA ROSE TIFFANY

FORT WAYNE, IN
NPI1437850724
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy164W00000X Licensed Practical Nurse
(Licence: IN  27061524A)
Enumeration Date2023-03-14
Last Update Date2023-03-14
Business Address
Mrs. TRISHA ROSE TIFFANY LPN
2121 LAKE AVE
FORT WAYNE, IN 46805-5100
Phone number: 260-423-5431
Mailing Address
Mrs. TRISHA ROSE TIFFANY LPN
2121 LAKE AVE
FORT WAYNE, IN 46805-5100
Phone number: 260-436-5431