Tiffanie Marie Mavis

NPI #1598532145 in Wapakoneta, Ohio

Provider Information

NPI Number: 1598532145
Entity Type: Individual
Name: Tiffanie Marie Mavis
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Home Health Aide
Enumeration Date: Dec 5, 2023
Last Updated: Dec 5, 2023

Practice Location

Address: 612 BELLEFONTAINE ST
City: Wapakoneta
State: Ohio
ZIP Code: 45895-2016
Phone: (567) 356-6937

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Home Health Aide	374U00000X	Primary

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