Individual
TIFFANY GREEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1203 MAPLE ST, GREENSBORO, NC 27405-6910
(336) 641-3896
Mailing address
1437 TALBOT RD, PLEASANT GARDEN, NC 27313-9210
(336) 209-1221
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
270136
NC
Other
Enumeration date
02/10/2022
Last updated
02/10/2022
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