Individual
TIFFANY WILLIAMS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2465 BONADENT DR STE 3, WATERLOO, NY 13165-4111
(315) 539-1975
Mailing address
2465 BONADENT DR STE 3, WATERLOO, NY 13165-4111
(315) 539-1975
Taxonomy
Speciality
Code
Description
License number
State
251300000X
Local Education Agency (LEA)
Primary
—
—
Other
Enumeration date
10/26/2018
Last updated
10/26/2018
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