Individual
TIFFANI MICHELLE BALDWIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3801 S NATIONAL AVE, SPRINGFIELD, MO 65807-5210
(417) 860-5965
Mailing address
4428 S HEMLOCK AVE, SPRINGFIELD, MO 65810-1086
(417) 860-5965
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
04/29/2025
Last updated
04/29/2025
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