Individual
TIFFANY PELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
426 POTOWATAMI CT, ELLETTSVILLE, IN 47429-1976
(812) 318-7044
Mailing address
426 POTOWATAMI CT, ELLETTSVILLE, IN 47429-1976
(812) 318-7044
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
—
—
Other
Enumeration date
12/12/2016
Last updated
12/12/2016
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