Individual
TIFFANY SMART
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
12427 S PASTURE RD STE 104, RIVERTON, UT 84096-4828
(801) 727-8744
Mailing address
4460 S HIGHLAND DR STE 120, SALT LAKE CITY, UT 84124-3550
(888) 949-4864
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
Other
Enumeration date
06/23/2023
Last updated
06/23/2023
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