Individual
TIFFANY RENE SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
469 J E CLARK CV, MARION, AR 72364-2308
(901) 254-2278
Mailing address
469 J E CLARK CV, MARION, AR 72364-2308
(901) 254-2278
Taxonomy
Speciality
Code
Description
License number
State
224P00000X
Prosthetist
Primary
—
TN
Other
Enumeration date
01/18/2018
Last updated
06/16/2018
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