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Search › Missouri › 225X00000X

Tiffany Ice

NPI 1417373291 · on the registry since 2014 · sole proprietor

Practice

Address
312 Solley Dr
Ballwin, MO 63021
Phone
(636) 391-0666
Organisation at this address
Wccc Op Llc
Manchester Operator Llc
Community Care Centers, Inc.
West County Care Center, Inc.
Inferred from a shared address, not stated in the registry.
Clinicians at this address
6

Registry record

Primary taxonomy
225X00000X
225X00000X
Also registered as
174400000X
Licence states on file
MO
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2023-09-15

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Missouri