Tiffaney Leora Day RSA

NPI 1225388150 - Community Health Worker - 172V00000X

NPI Details
NPI 1225388150
Gender Female
Enumeration Date 09/18/2012
Last Updated 09/18/2012
Entity Type Individual
Active Over 4 years ago
Practice Location
401 W SPRINGFIELD AVE
CHAMPAIGN IL, 61820-4716, US
Phone (217) 398-8464
Fax
Business Location
1711 AIRPORT RD
URBANA IL, 61802-7522, US
Phone (217) 418-0208
Fax
Toxanomy
Taxonomy Code 172V00000X
License State
License Number
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According to our database, Miss Tiffaney Leora Day RSA NPI is 1225388150, taxonomy code is 172V00000X Tiffaney Leora Day RSA physically located at 401 W Springfield Ave, Champaign IL, 61820-4716. NPI Number Tiffaney Leora Day RSA has the Individual type.

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1225388150 NPI number is provided on an as is basis without warranty of any kind. 1225388150 is maintained by the National Plan & Provider Enumeration System. The contents of Tiffaney Leora Day RSA are for informational purposes only.