Individual
MISS TIFFANEY LEORA DAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RSA
Contact information
Practice address
401 W SPRINGFIELD AVE, CHAMPAIGN, IL 61820-4716
(217) 398-8464
Mailing address
1711 AIRPORT RD, URBANA, IL 61802-7522
(217) 418-0208
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
Other
Enumeration date
09/18/2012
Last updated
09/18/2012
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