MRS. Tiffany Denise Gipson

NPI #1447880596 in Milwaukee, Wisconsin

Provider Information

NPI Number: 1447880596
Entity Type: Individual
Name: MRS. Tiffany Denise Gipson
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Private Vehicle
Enumeration Date: Jan 16, 2020
Last Updated: Jan 16, 2020

Practice Location

Address: 4873 N 24TH ST
City: Milwaukee
State: Wisconsin
ZIP Code: 53209-5629
Phone: (414) 659-3635

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Private Vehicle	347C00000X	Primary

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