Tiffany Nicole Green, BS

NPI #1174089353 in Stephenville, Texas

Provider Information

NPI Number: 1174089353
Entity Type: Individual
Name: Tiffany Nicole Green, BS
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Student in an Organized Health Care Education/Training Program
Credential: BS
Enumeration Date: Feb 13, 2019
Last Updated: Feb 13, 2019

Practice Location

Address: 133 W WASHINGTON ST
City: Stephenville
State: Texas
ZIP Code: 76401-4254
Phone: (214) 514-9356

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist/Technologist - Athletic Trainer — Athletic Trainer	2255A2300X
Student in an Organized Health Care Education/Training Program	390200000X	Primary

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