Individual
TIFFANY HOSICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
18279 CONNEAUT LAKE RD, MEADVILLE, PA 16335-3759
(814) 337-8383
(814) 337-8380
Mailing address
PO BOX 596, COCHRANTON, PA 16314-0596
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
PN274112
PA
Other
Enumeration date
01/17/2014
Last updated
01/17/2014
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