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Search › Michigan › 103T00000X

Tiffany Wallace, MS LLP

NPI 1760586176 · on the registry since 2006

Practice

Address
8623 N Wayne Road
Hegira Programs Inc Ste 310
Westland, MI 48185
Phone
(734) 425-0636
Fax
(734) 425-4771
Organisation at this address
Jcma Pharmacy Inc
Hegira Health, Inc
Hegira Health, Inc.
Hegira Health, Inc.
Hegira Health, Inc.
Inferred from a shared address, not stated in the registry.
Clinicians at this address
203

Registry record

Primary taxonomy
103T00000X
103T00000X
Licence states on file
MI
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2007-07-08

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 Michigan