Individual
TIFFANY WHITESIDE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
563 EAST FRONT STREET, APT B, PLAINFIELD, NJ 07062
(908) 265-4101
Mailing address
563 EAST FRONT STREET, APT B, PLAINFIELD, NJ 07062-0706
(908) 265-4101
(330) 849-0344
Taxonomy
Speciality
Code
Description
License number
State
376G00000X
Nursing Home Administrator
Primary
—
—
Other
Enumeration date
11/18/2024
Last updated
11/18/2024
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