Individual
TIFFANY BAREFOOT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
1476 E MCCARTY LN APT 5101, SAN MARCOS, TX 78666-3793
(601) 466-0962
Mailing address
1476 E MCCARTY LN APT 5101, SAN MARCOS, TX 78666-3793
Taxonomy
Speciality
Code
Description
License number
State
163WP0200X
Pediatric Registered Nurse
Primary
1004047
TX
Other
Enumeration date
10/20/2020
Last updated
10/20/2020
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