TIFFANY BLACK

KENOVA, WV
NPI1700639077
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy3747P1801X Technician, Personal Care Attendant
Enumeration Date2024-04-08
Last Update Date2024-04-08
Business Address
TIFFANY BLACK
1702 CHESTNUT ST
KENOVA, WV 25530-1612
Phone number: 681-378-4126
Mailing Address
TIFFANY BLACK
1702 CHESTNUT ST
KENOVA, WV 25530-1612
Phone number: 681-378-4126
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