Clark, Tiffany

Clark, Tiffany is an individual health care provider with primary practice located at 11830 Jenner Ln , Saint Louis MO 63138-1212. She recently has only one registered license in Nursing Service Related Providers / Home Health Aide, which is considered as her primary health care specialty. Clark, Tiffany can be contacted via phone (314) 440-3020.

Contact Information

Primary practice address
11830 Jenner Ln Saint Louis MO 63138-1212
Phone: (314) 440-3020
Fax: (314) 653-2824
Website:
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Health care specialties

SpecialtyCodeLicense #State
Nursing Service Related Providers / Home Health Aide 374U00000X

Profile Details

NPI number 1639596398
LBN Legal business name Clark, Tiffany
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 19th, 2014
Last updated Mar 19th, 2014 - about 10 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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