Individual provider · Type 1 NPI

Tiffany Wallace

Other Technician · St. Petersburg, FL

NPI number 1972901825 Active

About NPI 1972901825

Tiffany Wallace's National Provider Identifier is 1972901825, issued on Dec 9, 2014. The primary taxonomy on file is Other Technician (247200000X), and the practice location is in St. Petersburg, FL. The record was last updated on Dec 9, 2014.