Individual
TIFFANY DAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
11680 S 153RD WEST AVE, SAPULPA, OK 74066-8564
(918) 639-4685
(918) 512-6320
Mailing address
11680 S 153RD WEST AVE, SAPULPA, OK 74066-8564
(918) 639-4685
(918) 512-6320
Taxonomy
Speciality
Code
Description
License number
State
374K00000X
Religious Nonmedical Practitioner
Primary
—
—
Other
Enumeration date
01/27/2021
Last updated
01/27/2021
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