Individual
TIFFANY HARE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
10140 DEER RUN FARMS RD, FORT MYERS, FL 33966-1045
(239) 791-1586
Mailing address
3763 EVANS AVE, FORT MYERS, FL 33901-9302
(239) 791-1586
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN9375701
FL
Other
Enumeration date
06/29/2014
Last updated
06/29/2014
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