Individual
TIFFANY KIZZIAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1211 PECOS PASS DR, RICHMOND, TX 77406-2799
(281) 507-1973
Mailing address
1211 PECOS PASS DR, RICHMOND, TX 77406-2799
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT3781
TX
Other
Enumeration date
07/30/2014
Last updated
07/30/2014
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