Individual
TIFFANY CHERRY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
PO BOX 1666, WALL, NJ 07719-1666
(901) 620-8105
Mailing address
PO BOX 1666, WALL, NJ 07719-1666
(901) 620-8105
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
NJ
172A00000X
Driver
—
NJ
Other
Enumeration date
07/11/2024
Last updated
07/11/2024
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