Most Relevant Information
Provider Data
| NPI Number: | 1003256207 |
| Provider Name: | TIFFANY CAMPOS MHPP |
| Entity Type: | Individual |
| Taxonomy Code: | 171M00000X |
| Specialty: | Case Manager/Care Coordinator |
| License Number: |
Most Important Dates
| Enumeration Date: | 07/02/2013 |
| Last Updated: | 07/02/2013 |
Provider Practice Location
1309 N CHURCH ST
ATKINS
AR
728233230
Practice Location Phone/Fax
| Phone: | 4796410730 |
| Fax: | 4796410732 |
Provider Mailing Location
1309 N CHURCH ST
ATKINS
AR
728233230
Provider Mailing Phone/Fax
| Phone: | 4796410730 |
| Fax: | 4796410732 |