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Individual
TOMEKA WORMACK
Active
Individual
TOMEKA WORMACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
201954
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
191436
MEDCOST
—
05
—
7004503
—
NC
01
—
7646859
AETNA
—
01
—
P00397962
RR MEDICARE
—
Enumeration date
08/17/2006
Last updated
09/16/2010
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