Tiffany Losius
Clinic/Center, Developmental Disabilities in Port St Lucie, FL. Individual provider (NPI-1).
NPI number1780197749
StatusActive
Last updated in NPPESNov 13, 2017
Details
- NPI
- 1780197749
- Entity type
- Individual (NPI-1)
- Name
- Tiffany Losius
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Nov 13, 2017
- Last updated
- Nov 13, 2017
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QD1600X | Clinic/Center, Developmental Disabilities | – | – | Yes |
Practice location
2065 Se Lennard Rd Apt 105Port St Lucie, FL 34952-4752
Phone 772-708-2162
Mailing address
2065 Se Lennard Rd Apt 105Port St Lucie, FL 34952-4752
Phone 772-708-2162
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All 16 Developmental Disabilities Clinic/Center providers in Port St Lucie · All 3,747 providers in Port St Lucie
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