Individual
TIFFANY LYNN GREEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
111 W 10TH ST STE 207, KANSAS CITY, MO 64105-1700
(913) 225-0565
Mailing address
111 W 10TH ST STE 207, KANSAS CITY, MO 64105-1700
(913) 225-0565
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
MO
Other
Enumeration date
12/31/2019
Last updated
03/05/2020
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