Individual
MS. TIFFANIE LATRICE DAVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5910 GERTRUDE AVE, CLEVELAND, OH 44105-3506
(440) 705-0023
Mailing address
5910 GERTRUDE AVE, CLEVELAND, OH 44105-3506
(440) 705-0023
Taxonomy
Speciality
Code
Description
License number
State
347C00000X
Private Vehicle
Primary
RT687481
OH
Other
Enumeration date
03/16/2023
Last updated
03/16/2023
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