Individual
TIFFANY JUDE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
163 PRICHARD RD, DANVILLE, WV 25053-6891
(304) 369-2273
Mailing address
163 PRICHARD RD, DANVILLE, WV 25053-6891
(304) 369-2273
Taxonomy
Speciality
Code
Description
License number
State
163WC0400X
Case Management Registered Nurse
Primary
103025
WV
Other
Enumeration date
09/06/2022
Last updated
09/06/2022
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