Individual
TIFFANY RENA MATTHEWS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
605 M C MOORE RD, HAMMOND, LA 70401-2074
(985) 981-4398
Mailing address
605 M C MOORE RD, HAMMOND, LA 70401-2074
(985) 981-4398
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
—
Other
Enumeration date
08/31/2024
Last updated
08/31/2024
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