Individual
TIFFANY RENEE FERNANDEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1351 S OVERLAND DR, LENNON, MI 48449-9673
(989) 998-9331
Mailing address
11410 E LENNON RD, LENNON, MI 48449-9666
(810) 621-4721
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
—
—
Other
Enumeration date
06/30/2025
Last updated
06/30/2025
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