Tiffany Goosby

NPI #1831894377 in Durant, Oklahoma

Provider Information

NPI Number: 1831894377
Entity Type: Individual
Name: Tiffany Goosby
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Driver
Enumeration Date: Apr 4, 2023
Last Updated: Apr 4, 2023

Practice Location

Address: 811 N 9TH AVE
City: Durant
State: Oklahoma
ZIP Code: 74701-3727
Phone: (580) 634-1432

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Technician - Personal Care Attendant — Personal Care Attendant	3747P1801X
Driver	172A00000X	Primary

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