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Tiffani A Wilson

Community Health Worker in Baltimore, MD. Individual provider (NPI-1).

NPI number1417618356
StatusActive
Last updated in NPPESJan 3, 2022

Details

NPI
1417618356
Entity type
Individual (NPI-1)
Name
Tiffani A Wilson
Sex
Female
Sole proprietor
No
Enumeration date
Jan 3, 2022
Certification date
Jan 3, 2022
Last updated
Jan 3, 2022

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
172V00000X Community Health Worker––Yes

Practice location

3234 Belair Rd
Baltimore, MD 21213-1228

Phone 301-979-7501 · Fax 301-979-7638

Mailing address

9411 Hannahs Mill Dr Apt 304
Owings Mills, MD 21117-6858

Phone 443-468-1816 · Fax 301-979-7638

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