Individual
TIFFANY ALEXANDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1561 MISSISSIPPI AVE, FT POLK, LA 71459
(337) 531-2121
Mailing address
234 STANLEY RD, LEESVILLE, LA 71446-2134
(337) 424-7904
Taxonomy
Speciality
Code
Description
License number
State
126800000X
Dental Assistant
Primary
—
—
Other
Enumeration date
03/22/2018
Last updated
03/22/2018
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