Tiffany Smith is a Driver based in Milwaukee, WI. Tiffany Smith practices in Milwaukee, WI. The NPI Number for Tiffany Smith is 1174108583 and holds a License No. (Wisconsin).
The current practice location address for Tiffany Smith is 5258 N 84Th St, Milwaukee, WI and can be reached out via phone at 414-514-2919.
Location: 5258 N 84Th St, Milwaukee, WI, 53225-3502
Provider Profile Details
NPI Number
1174108583
Provider Name
Tiffany Smith
Credential
Provider Entity Type
Individual
Gender
Female
Address
5258 N 84Th St, Milwaukee, WI, 53225-3502
Phone Number
414-514-2919
Fax Number
Provider Enumeration Date
03/17/2021
Last Update Date
03/10/2024
Provider's Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00000000000 | 01 | NONE |
Provider Business Practice Location Address Details
Address
5258 N 84Th St
City
State
Zip
53225-3502
Phone Number
414-514-2919
Fax Number
Provider Business Mailing Address Details
Address
5258 N 84Th St
City
State
Zip
53225-3502
Phone Number
414-514-2919
Fax Number
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Driver
Speciality
-
Taxonomy
License No.
()
Definition
A person employed to operate a motor vehicle as a carrier of persons or property.
Badge
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