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Individual

DR. TIFFANIE TAYLOR

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
1306 U ST NW, WASHINGTON, DC 20009-4445
(202) 328-8761
Mailing address
1306 U ST NW, WASHINGTON, DC 20009-4445
(202) 328-8761

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
24447
MD
183500000X
Pharmacist
Primary
PH100002454
DC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
2447
VACCINATION
MD
01
PH100002454
VACCINATION AND IMMUNIZATION AGENT
DC
Enumeration date
09/20/2016
Last updated
09/20/2016
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