Individual
TIFFANY SHERICE DONNELLY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1816 SE ADAMS ST, TOPEKA, KS 66607-1221
(785) 596-7083
Mailing address
1816 SE ADAMS ST, TOPEKA, KS 66607-1221
(785) 596-7083
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
1736303
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
040807
—
MO
Enumeration date
05/19/2021
Last updated
05/19/2021
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