Individual
TIFFAINE STEVENS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CHW
Contact information
Practice address
35 COUNTY ROAD 1304, TEXARKANA, TX 75501-2244
(479) 799-9740
Mailing address
35 COUNTY ROAD 1304, TEXARKANA, TX 75501-2244
(479) 799-9740
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
12277
TX
Other
Enumeration date
12/18/2024
Last updated
12/18/2024
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