Individual
TIFFANY TERRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
23 PROSPECT ST # B, A, TRENTON, NJ 08618-4636
(201) 428-0210
Mailing address
23 PROSPECT ST # B, TRENTON, NJ 08618-4636
(201) 428-0210
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
26NP08110800
NJ
Other
Enumeration date
10/16/2024
Last updated
10/16/2024
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