Individual
MISS TIFFANY ALENA WATSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CNA
Contact information
Practice address
709 E CHURCH LN, PHILADELPHIA, PA 19144-1436
(267) 423-2426
Mailing address
709 E CHURCH LN APT G1, PHILADELPHIA, PA 19144-1443
(267) 437-0264
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
10001903
PA
Other
Enumeration date
07/07/2016
Last updated
07/07/2016
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