Individual
TIFFANY FAYE BURNS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2725 MERCHANTS DR, JEFFERSON CITY, MO 65109-1161
(573) 691-7242
(888) 977-2971
Mailing address
2725 MERCHANTS DR, JEFFERSON CITY, MO 65109-1161
(573) 691-7242
(888) 977-2971
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
MO
Other
Enumeration date
04/01/2019
Last updated
04/01/2019
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