Individual
TIFFANEY ALEYSE PERRY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4436 MAIN ST, MILLPORT, NY 14864-9769
(607) 767-6549
Mailing address
4436 MAIN ST, MILLPORT, NY 14864-9769
(607) 767-6549
Taxonomy
Speciality
Code
Description
License number
State
372600000X
Adult Companion
Primary
—
—
Other
Enumeration date
11/15/2012
Last updated
11/15/2012
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