Tiffany Smith

NPI #1013501725 in Genoa, West Virginia

Provider Information

NPI Number: 1013501725
Entity Type: Individual
Name: Tiffany Smith
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Community Health Worker
Enumeration Date: Feb 23, 2021
Last Updated: Feb 23, 2021

Practice Location

Address: 33 PEACH ROSE LN
City: Genoa
State: West Virginia
ZIP Code: 25517-7598
Phone: (304) 654-8907

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Community Health Worker	172V00000X	Primary

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