Most Relevant Information
Provider Data
| NPI Number: | 1003379785 |
| Provider Name: | TIFFANIE MANSIOS |
| Entity Type: | Individual |
| Taxonomy Code: | 164X00000X |
| Specialty: | Licensed Vocational Nurse |
| License Number: | 346047 |
Most Important Dates
| Enumeration Date: | 04/10/2019 |
| Last Updated: | 04/10/2019 |
Provider Practice Location
5381 W FM 1161 RD
WHARTON
TX
774889166
Practice Location Phone/Fax
| Phone: | 9796181522 |
| Fax: |
Provider Mailing Location
5381 W FM 1161 RD
WHARTON
TX
774889166
Provider Mailing Phone/Fax
| Phone: | 9796181522 |
| Fax: |