Individual
TIFFANY DENISE MOSS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
9450 WHITE PINE CT APT E, MIAMISBURG, OH 45342-5824
(937) 993-6150
Mailing address
9450 WHITE PINE CT APT E, MIAMISBURG, OH 45342-5824
(937) 993-6150
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
—
KS
Other
Enumeration date
04/29/2022
Last updated
05/04/2022
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