Individual
TIFFANY GILL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
24 TRACY DR, SANDSTONE, WV 25985-1100
(681) 238-8497
Mailing address
24 TRACY DR, SANDSTONE, WV 25985-1100
(681) 238-8497
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
3747P1801X
Personal Care Attendant
—
WV
Other
Enumeration date
04/01/2021
Last updated
08/21/2023
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