Individual
TIFFANY STAFFORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LOTR
Contact information
Practice address
1050 MEDICAL CENTER BLVD, MARRERO, LA 70072-3144
(504) 874-2022
Mailing address
TRITON HEALTHCARE, INC, 8128 FLORIDA BLVD, DENHAM SPRINGS, LA 70726
(504) 874-2022
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OTT200475
LA
Other
Enumeration date
09/05/2018
Last updated
09/05/2018
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