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Tiffany Brakefield
NPI 1811253222 · on the registry since 2012 · sole proprietor
Practice
- Address
- 7309 Balmer St Bldg 545
Hill Afb, UT 84056 - Phone
- (801) 777-7909
- Clinicians at this address
- 4
Additional practice sites
- 1401 S State St Unit 802, Chicago, IL
- 7309 Balmer St Bldg 545, Hill Afb, UT
Registry record
- Primary taxonomy
- 103TC0700X
103TC0700X
- Also registered as
- 390200000X
- Licence states on file
- VA
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2019-06-12
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 Utah