Individual
TIFFANY LATASHA MARIE CROMER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
64 CAMI CT APT 503, WALTON, KY 41094-1184
(859) 816-7663
Mailing address
64 CAMI CT APT 503, WALTON, KY 41094-1184
(859) 816-7663
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
—
KY
Other
Enumeration date
05/13/2014
Last updated
04/23/2024
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