Individual
TIFFANY BUTLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5082 LONDON LN, JACKSON, MS 39209-4652
(601) 397-3817
Mailing address
5082 LONDON LANE, JACKSON, MS 39209
(601) 397-3817
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
—
—
376J00000X
Homemaker
Primary
—
—
376K00000X
Nurse's Aide
—
—
Other
Enumeration date
04/08/2014
Last updated
04/08/2014
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