Individual
TIFFANY CARROTHERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RT(N)
Contact information
Practice address
3000 BICENTENNIAL PKWY, HENDERSON, NV 89044-0519
(773) 419-0068
Mailing address
3000 BICENTENNIAL PKWY, HENDERSON, NV 89044-0519
(773) 419-0068
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
372600000X
Adult Companion
—
—
374U00000X
Home Health Aide
—
—
Other
Enumeration date
08/19/2014
Last updated
04/21/2017
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