Individual
MRS. TIFFANY MARIE KUBIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
45 MANOR HILL DR, SUITE 100, CANFIELD, OH 44406-1527
(330) 702-3937
Mailing address
1100 BOARDMAN CANFIELD RD, APT 64B, BOARDMAN, OH 44512-8056
(740) 584-1588
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
6472
OH
Other
Enumeration date
05/25/2016
Last updated
05/25/2016
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