Individual
JOHN C TIFFAULT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
3601 S 6TH AVE, TUCSON, AZ 85723-0001
(803) 316-7650
Mailing address
1022 SKARDON ST, SUMTER, SC 29154-6072
(803) 316-7650
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
84271
SC
Other
Enumeration date
11/16/2007
Last updated
11/16/2007
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