Individual
TIFFANY MELISSA BAYNE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CPT
Contact information
Practice address
6815 CLOVER LN, UPPER DARBY, PA 19082-5302
(610) 335-6724
(267) 500-9889
Mailing address
6815 CLOVER LN, UPPER DARBY, PA 19082-5302
(610) 335-6724
(267) 500-9889
Taxonomy
Speciality
Code
Description
License number
State
246RP1900X
Phlebotomy Technician
Primary
C4T2H2M6
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1913919082
—
PA
Enumeration date
07/29/2022
Last updated
08/18/2022
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