TIFFANY LA"TRELLE NELSON

POOLER, GA
NPI1942712849
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy251B00000X Case Management
Additional Taxonomies253Z00000X In Home Supportive Care
Enumeration Date2017-10-31
Last Update Date2017-10-31
Business Address
TIFFANY LA"TRELLE NELSON
2486 QUACCO RD
POOLER, GA 31322-8402
Phone number: 912-272-5834
Mailing Address
TIFFANY LA"TRELLE NELSON
PO BOX 18416
GARDEN CITY, GA 31418-0416
Phone number: 912-272-5834
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