Individual
TIFFANY DAVIGNON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
140 HIGH ST, GREENFIELD, MA 01301-2702
(413) 774-1782
Mailing address
111 FEDERAL ST, GREENFIELD, MA 01301-2501
Taxonomy
Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
Primary
235170
MA
Other
Enumeration date
02/22/2009
Last updated
02/22/2009
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