Individual
TIFFANY ELISE PARKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
13625 S 48TH ST APT 1056, PHOENIX, AZ 85044-5046
(602) 214-3939
Mailing address
13625 S 48TH ST APT 1056, PHOENIX, AZ 85044-5046
(602) 214-3939
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT-16281
AZ
Other
Enumeration date
12/23/2020
Last updated
12/23/2020
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