Individual
TIFFANY TOLBERT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
36065 SANTA FE AVE, FORT HOOD, TX 76544-5060
(254) 553-3115
Mailing address
36065 SANTA FE AVE, FORT HOOD, TX 76544-5060
(254) 553-3115
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
NA0060053978
TX
Other
Enumeration date
05/04/2021
Last updated
05/04/2021
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