Individual
TIFFANY GRACE GRIFFIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
600 S MAIN ST, FAIRFIELD, IA 52556-3612
(641) 919-2818
Mailing address
600 S MAIN ST, FAIRFIELD, IA 52556-3612
(641) 919-2818
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
149514
IA
Other
Enumeration date
12/06/2020
Last updated
12/06/2020
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