Individual
TIFFANY ANNE DUTTKO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
16012 REMORA BLVD, BROOKPARK, OH 44142-2218
(216) 704-0699
Mailing address
16012 REMORA BLVD, BROOKPARK, OH 44142-2218
(216) 704-0699
Taxonomy
Speciality
Code
Description
License number
State
2472R0900X
Renal Dialysis Technician
Primary
DT.006427
OH
251E00000X
Home Health Agency
—
—
253Z00000X
In Home Supportive Care Agency
—
—
372500000X
Chore Provider
—
—
372600000X
Adult Companion
—
—
373H00000X
Day Training/Habilitation Specialist
—
—
374U00000X
Home Health Aide
—
—
376J00000X
Homemaker
—
—
376K00000X
Nurse's Aide
—
—
Other
Enumeration date
03/27/2023
Last updated
01/06/2026
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