TIFFANY VERNITA BLAZE

SHREVEPORT, LA
NPI1801542436
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy171M00000X Case Manager/Care Coordinator
Additional Taxonomies171R00000X Interpreter
Enumeration Date2022-02-22
Last Update Date2022-02-24
Business Address
TIFFANY VERNITA BLAZE
9403 MANSFIELD RD
SHREVEPORT, LA 71118-3815
Phone number: 318-861-8938
Mailing Address
TIFFANY VERNITA BLAZE
9403 MANSFIELD RD
SHREVEPORT, LA 71118-3815
Phone number: 318-861-8938
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