Tiffany K Holloway, CCP

NPI #1649591843 in Weston, Wisconsin

Provider Information

NPI Number: 1649591843
Entity Type: Individual
Name: Tiffany K Holloway, CCP
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Perfusionist
Credential: CCP
Enumeration Date: Jun 22, 2010
Last Updated: Jun 22, 2010

Practice Location

Address: 7602 CALLON AVE
City: Weston
State: Wisconsin
ZIP Code: 54476-3213
Phone: (715) 393-1252

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Perfusionist	242T00000X	Primary

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