Individual
TIFFANY JASMINE MARTIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2000 AUBURN DR, BEACHWOOD, OH 44122-4314
(216) 704-7692
Mailing address
15911 JUDSON DR, CLEVELAND, OH 44128-2153
(216) 704-7692
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
—
376K00000X
Nurse's Aide
501053941205
OH
376K00000X
Nurse's Aide
CN0014229703
GA
Other
Enumeration date
10/20/2020
Last updated
03/18/2021
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