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Individual
TAMARA AISHAMARRYSHOW HUSON
Active
Individual
TAMARA AISHAMARRYSHOW HUSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
322666
LA
207Q00000X
Family Medicine Physician
Primary
35143595
OH
207Q00000X
Family Medicine Physician
LP04112
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
LP04112
RHODE ISLAND MEDICAL LICENSE
RI
Enumeration date
06/27/2017
Last updated
07/26/2022
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