TIFFANY GARY

JEFFERSON, LA
NPI1861862922
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: LA  ATH.J00296)
Enumeration Date2015-10-01
Last Update Date2015-10-01
Business Address
-- TIFFANY GARY ATC, LAT,
1221 S CLEARVIEW PKWY
JEFFERSON, LA 70121-1011
Phone number: 337-349-4927
Mailing Address
-- TIFFANY GARY ATC, LAT,
12500 OLD HAMMOND HWY APT N1
BATON ROUGE, LA 70816-1094
Phone number: 337-349-4927
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