Individual
TIFFANY LAVERA JONES-EVANS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
14414 S UNION AVE, RIVERDALE, IL 60827-2636
(773) 317-0957
Mailing address
14414 S UNION AVE, RIVERDALE, IL 60827-2636
(773) 317-0957
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
041-415093
IL
Other
Enumeration date
09/25/2013
Last updated
09/25/2013
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