Individual
TIFFANY SLADE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
187 LICK FORK CREEK RD, REIDSVILLE, NC 27320-7752
(336) 344-3839
Mailing address
187 LICK FORK CREEK RD, REIDSVILLE, NC 27320-7752
(336) 344-3839
Taxonomy
Speciality
Code
Description
License number
State
174N00000X
Lactation Consultant (Non-RN)
Primary
L-303124
NC
374J00000X
Doula
—
NC
Other
Enumeration date
03/04/2021
Last updated
07/22/2021
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