Individual
LAURA TIFFANY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
344 UNIVERSITY BLVD W, SILVER SPRING, MD 20901-1948
(844) 796-2797
Mailing address
344 UNIVERSITY BLVD W, SILVER SPRING, MD 20901-1948
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
—
DC
363A00000X
Physician Assistant
Primary
—
MD
Other
Enumeration date
06/17/2024
Last updated
06/17/2024
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