Tiffany Love

NPI #1336623040 in Ada, Oklahoma

Provider Information

NPI Number: 1336623040
Entity Type: Individual
Name: Tiffany Love
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Community Health Worker
Enumeration Date: Sep 18, 2018
Last Updated: Sep 18, 2018

Practice Location

Address: 314 S BROADWAY AVE STE 106
City: Ada
State: Oklahoma
ZIP Code: 74820-5818
Phone: (580) 235-0210

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Community Health Worker	172V00000X	Primary

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