Individual
TIFFNEY LAW
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2838 W CAPERTON ST, SHREVEPORT, LA 71109-2308
(318) 800-1785
Mailing address
2838 W CAPERTON ST, SHREVEPORT, LA 71109-2308
(318) 800-1785
Taxonomy
Speciality
Code
Description
License number
State
347C00000X
Private Vehicle
Primary
007256458
LA
Other
Enumeration date
07/13/2018
Last updated
07/13/2018
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