Individual
TIFFANI N WOODS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CNA
Contact information
Practice address
1225 GREENE ST, GARY, IN 46403-3857
(219) 938-0232
Mailing address
1225 GREENE ST, GARY, IN 46403-3857
(219) 938-0232
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
44030601758
IN
Other
Enumeration date
07/20/2007
Last updated
07/20/2007
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