MISS Jade Alexandra Tibbals

NPI #1053638262 in Tullahoma, Tennessee

Provider Information

NPI Number
1053638262
Entity Type
Individual
Name
MISS Jade Alexandra Tibbals
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Case Manager/Care Coordinator
Enumeration Date
Apr 27, 2010
Last Updated
Apr 27, 2010

Practice Location

Address
709 DAVIDSON ST
ZIP Code
37388-3607
Phone
(931) 393-5900

Specialties & Taxonomy Codes

Specialty
Case Manager/Care Coordinator

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