Tiffany Wallace
Tiffany Wallace is an Other Technician in St Petersburg, Florida. Practices as a sole proprietor. Registered with an NPI since 2014.
- In the registry since
- 2014
Practice location Address checks out
1501 5th Ave NSt Petersburg, FL 33705-2008
Phone: (727) 896-8686
Fax: (727) 898-9596
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Specialties & licences
| Other Technician (primary) | Taxonomy 247200000X |
|---|
Record details
| NPI number | 1972901825 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | Yes |
| NPI enumerated | December 9, 2014 |
| Last updated in NPPES | December 9, 2014 |
| Mailing address | 1501 5th Ave N, St Petersburg, FL 33705-2008 |
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