Individual
TIFFANY S SAMUELS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
906 AVENUE E, ROSENBERG, TX 77471-2324
(281) 750-5698
Mailing address
906 AVENUE E, ROSENBERG, TX 77471-2324
(281) 750-5698
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
—
Other
Enumeration date
09/22/2020
Last updated
09/22/2020
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