Individual
MS. TIFFANY ROCHELL EDMONDSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
825 E MAIN ST, BLYTHEVILLE, AR 72315-2521
(573) 391-0570
Mailing address
825 E MAIN ST, BLYTHEVILLE, AR 72315-2521
(573) 391-0570
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
AR
Other
Enumeration date
10/04/2020
Last updated
10/04/2020
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