Individual
TIFFANY TERRELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3745 CONFEDERATION DR, COLUMBUS, OH 43207-6578
(937) 838-0280
Mailing address
3745 CONFEDERATION DR, COLUMBUS, OH 43207-6578
(937) 838-0280
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
400773390608
OH
Other
Enumeration date
10/28/2024
Last updated
10/28/2024
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