Individual
TIFFINI GRIFFIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
50 MERAMEC TRAIL DR, BALLWIN, MO 63021-3303
(636) 923-2323
Mailing address
538 CHAPEL CROSS DR, FLORISSANT, MO 63031-1674
(314) 313-2245
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
2003008803
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1111
PRIVATE PAY
—
Enumeration date
05/02/2022
Last updated
05/02/2022
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