Individual
TIFFANIE WALTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1332 PRESCOTT ST S, ST PETERSBURG, FL 33712-2441
(727) 656-7138
Mailing address
1332 PRESCOTT ST S, ST PETERSBURG, FL 33712-2441
(727) 656-7138
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN9366462
FL
Other
Enumeration date
12/19/2016
Last updated
12/19/2016
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