Individual
TIFFANY M MOORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2490 LEE BLVD STE 103, CLEVELAND HTS, OH 44118-1255
(216) 600-5194
Mailing address
4468 E 131ST ST, GARFIELD HTS, OH 44105-6972
(216) 217-0555
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
Other
Enumeration date
07/09/2018
Last updated
07/09/2018
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