Individual
TIFFANY NICOLE PIERCE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
730 NEWARK AVE APT 12D, JERSEY CITY, NJ 07306-2816
(201) 993-2462
Mailing address
730 NEWARK AVE APT 12D, JERSEY CITY, NJ 07306-2816
(201) 993-2462
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
B2S7H8L8
NJ
Other
Enumeration date
06/30/2020
Last updated
06/30/2020
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