Individual
TIFFANY LIN SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
235 E OHIO DR, PUEBLO WEST, CO 81007-2780
(719) 318-5433
Mailing address
235 E OHIO DR, PUEBLO WEST, CO 81007-2780
(719) 318-5433
Taxonomy
Speciality
Code
Description
License number
State
163WW0000X
Wound Care Registered Nurse
Primary
RN.1634558
CO
Other
Enumeration date
10/19/2023
Last updated
10/19/2023
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