Individual
TIFFANY J GIST
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
19355 WOODLAND ST, HARPER WOODS, MI 48225-2065
(313) 772-0945
Mailing address
19355 WOODLAND ST, HARPER WOODS, MI 48225-2065
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
Other
Enumeration date
07/28/2025
Last updated
09/02/2025
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