Individual
TIFFANY E HOOPER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
146 3RD ST, ELIZABETH, NJ 07206-1810
(908) 344-4204
(908) 662-1053
Mailing address
146 3RD ST, ELIZABETH, NJ 07206-1810
(908) 344-4204
(908) 662-1053
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
26NP06121000
NJ
Other
Enumeration date
01/04/2010
Last updated
01/04/2010
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