Individual
TIFFANY LEAH SHORTS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6520 BRYCE CANYON DR S, GREENWELL SPRINGS, LA 70739-3160
(504) 261-1128
Mailing address
6520 BRYCE CANYON DR S, GREENWELL SPRINGS, LA 70739-3160
(504) 261-1128
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
210482
LA
Other
Enumeration date
07/26/2007
Last updated
07/26/2007
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