Individual
DR. TIFFANY ROSE HUMES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
1116 W GANSON ST, JACKSON, MI 49202-4240
(877) 852-8463
(517) 782-5166
Mailing address
1116 W GANSON ST, JACKSON, MI 49202-4240
(877) 852-8463
(517) 782-5166
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
4901004672
MI
152WC0802X
Corneal and Contact Management Optometrist
4901004672
MI
Other
Enumeration date
06/08/2012
Last updated
06/08/2012
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