Individual
TIFFANY THOMPSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1256 ROBERT DICKEY PKWY, KETTERING, OH 45409-2119
(937) 694-6156
Mailing address
1256 ROBERT DICKEY PKWY, KETTERING, OH 45409-2119
(937) 694-6156
(937) 522-7307
Taxonomy
Speciality
Code
Description
License number
State
163WA2000X
Administrator Registered Nurse
Primary
377465
OH
Other
Enumeration date
10/25/2020
Last updated
01/12/2024
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