Individual
TIFFANY HEINZMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
333 FOUNDRY ST, NEW MARTINSVILLE, WV 26155-1142
(304) 231-3820
Mailing address
30 G C AND P RD, WHEELING, WV 26003-6129
Taxonomy
Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
Primary
69537
WV
Other
Enumeration date
10/26/2016
Last updated
10/26/2016
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