Individual
TIFFANY DURAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
939 N MAIN ST, WICHITA, KS 67203-3608
(316) 617-0680
Mailing address
939 N MAIN ST, WICHITA, KS 67203-3608
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
48487
KS
Other
Enumeration date
12/09/2022
Last updated
12/09/2022
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