Individual
DR. TIFFANY JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.C.
Contact information
Practice address
158 W BEATON DR, SUITE 200, WEST FARGO, ND 58078-2657
(701) 893-3150
Mailing address
PO BOX 425, WEST FARGO, ND 58078-0425
(701) 893-3150
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
ND766
ND
Other
Enumeration date
09/22/2006
Last updated
07/08/2007
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