Most Relevant Information
Provider Data
| NPI Number: | 1003491432 |
| Provider Name: | TIFFANY BURNS |
| Entity Type: | Individual |
| Taxonomy Code: | 172V00000X |
| Specialty: | Community Health Worker |
| License Number: |
Most Important Dates
| Enumeration Date: | 03/17/2021 |
| Last Updated: | 03/17/2021 |
Provider Practice Location
903 GORE ADDITION RD
TORNADO
WV
252028108
Practice Location Phone/Fax
| Phone: | 3043958964 |
| Fax: |
Provider Mailing Location
HC 65 BOX 273
TORNADO
WV
25202
Provider Mailing Phone/Fax
| Phone: | 3043958964 |
| Fax: |