Individual
TIFFANY ANN FREELON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
10500 E 46TH ST, KANSAS CITY, MO 64133-3841
(816) 214-6987
Mailing address
10500 E 46TH ST, KANSAS CITY, MO 64133-3841
(816) 214-6987
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
2006007589
MO
Other
Enumeration date
07/20/2008
Last updated
07/20/2008
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