MS. Tiffany Latese Stackens

NPI #1598985491 in Jackson, Tennessee

Provider Information

NPI Number
1598985491
Entity Type
Individual
Name
MS. Tiffany Latese Stackens
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Nutritionist - Nutrition, Education
Enumeration Date
Apr 26, 2007
Last Updated
Jul 8, 2007

Practice Location

Address
804 N PARKWAY
ZIP Code
38305-3058
Phone
(731) 423-3020

Specialties & Taxonomy Codes

Specialty
Nutritionist - Nutrition, EducationNutrition, Education

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