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Individual

TAMMY SUE AHMOUDA

Active
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Individual

TAMMY SUE AHMOUDA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PN.102856-MEDS

Taxonomy

Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
2013045400
MS
164W00000X
Licensed Practical Nurse
Primary
PN.102856
OH
172A00000X
Driver
RR470365
OH
174H00000X
Health Educator
PN.102856
OH

Other

Enumeration date
05/12/2015
Last updated
05/12/2015
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