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Tiffany Young
Prosthetics Case Management in Wentzville, Missouri
NPI 1194336768

Tiffany Young is a Prosthetics Case Management based in Wentzville, MO and is specialized in Prosthetics Case Management. Tiffany Young practices in Wentzville, MO. The NPI Number for Tiffany Young is 1194336768 and holds a License No. 2004007868 (Missouri).

The current practice location address for Tiffany Young is 411 E Pearce Blvd, Wentzville, MO and can be reached out via phone at 636-281-8433.

Location: 411 E Pearce Blvd, Wentzville, MO, 63385-1533
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1194336768
Provider Name
Tiffany Young
Credential
Provider Entity Type
Individual
Gender
Female
Address
411 E Pearce Blvd, Wentzville, MO, 63385-1533
Phone Number
636-281-8433
Fax Number
Provider Enumeration Date
08/16/2020
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
2004007868 01 MO SPECIALIST
institution
Provider Business Practice Location Address Details
Address
411 E Pearce Blvd
City
Wentzville
State
Missouri
Zip
63385-1533
Phone Number
636-281-8433
Fax Number
person
Provider Business Mailing Address Details
Address
411 E Pearce Blvd
City
Wentzville
State
Missouri
Zip
63385-1533
Phone Number
636-281-8433
Fax Number
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
Prosthetics Case Management
Taxonomy
1744P3200X
License No.
2004007868 (Missouri)
Definition
Definition to come...
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