Individual
TIFFANY DANIELLE YEAGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PRSS
Contact information
Practice address
2444 COLLIS AVE, HUNTINGTON, WV 25703-1235
(681) 888-5564
Mailing address
1649 KING ST, SOUTH CHARLESTON, WV 25303-1807
(304) 691-3713
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
WV
175T00000X
Peer Specialist
—
—
Other
Enumeration date
06/27/2022
Last updated
06/27/2022
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