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Individual
MRS. TAMALA MIYAKO DAVID
Active
Individual
MRS. TAMALA MIYAKO DAVID
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, FNP
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
515251-1
NY
363LF0000X
Family Nurse Practitioner
F335068-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02140632
—
NY
Enumeration date
03/06/2007
Last updated
07/02/2018
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