Individual
TIFFANY CODNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
503 RAMAPO BRAE LN, MAHWAH, NJ 07430-1004
(201) 252-2432
Mailing address
503 RAMAPO BRAE LN, MAHWAH, NJ 07430-1004
(201) 252-2432
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
81237
NY
Other
Enumeration date
08/04/2009
Last updated
08/04/2009
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