Individual
TIFFANY FOX
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1022 SPRING LAKE BLVD, BYRAM, MS 39272-6510
(601) 906-2206
Mailing address
1022 SPRING LAKE BLVD, BYRAM, MS 39272-6510
(601) 906-2206
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
02/10/2016
Last updated
02/10/2016
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