Individual
MRS. TIFFANI ROSS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CMF
Contact information
Practice address
17436 MIDNIGHT EXPRESS WAY, CORNELIUS, NC 28031-8180
(330) 207-7099
Mailing address
17436 MIDNIGHT EXPRESS WAY, CORNELIUS, NC 28031-8180
(330) 207-7099
Taxonomy
Speciality
Code
Description
License number
State
224900000X
Mastectomy Fitter
Primary
C50985
NC
Other
Enumeration date
07/21/2015
Last updated
10/02/2016
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