Individual
TIFFANY GOMEZ-GRUBB
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
324 PLANTATION HILLS BLVD, STONEWALL, LA 71078-2838
(318) 531-8543
Mailing address
324 PLANTATION HILLS BLVD, STONEWALL, LA 71078-2838
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
208272
LA
Other
Enumeration date
07/01/2025
Last updated
07/01/2025
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