Individual
TIFFANY PARSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3820 PEACHWOOD DR, PORTSMOUTH, VA 23703-2543
(757) 582-2296
Mailing address
3820 PEACHWOOD DR, PORTSMOUTH, VA 23703-2543
(757) 582-2296
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
825365764
—
VA
Enumeration date
05/08/2018
Last updated
06/16/2018
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