Individual
TIFFONY LYNN LOVE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1252 OPPORTUNITY RD, WINSTON SALEM, NC 27105-2439
(336) 767-1149
Mailing address
1252 OPPORTUNITY RD, WINSTON SALEM, NC 27105-2439
(336) 767-1149
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
0489506
NC
Other
Enumeration date
09/09/2010
Last updated
09/09/2010
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