Individual
TIFFANYANN MITCHELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
638 FORK MOUNTAIN RD, PARSONS, WV 26287-9541
(681) 298-2071
Mailing address
638 FORK MOUNTAIN RD, PARSONS, WV 26287-9541
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
Other
Enumeration date
03/04/2021
Last updated
03/04/2021
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