Individual
TAMARA M. PEACOCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
CORNER ROUTE 7 AND ROUTE 12, FORT DEFIANCE, AZ 86504
(928) 729-8600
Mailing address
1050 N NAPLES DR, CHANDLER, AZ 85226-7607
(480) 408-9520
Taxonomy
Speciality
Code
Description
License number
State
163WE0003X
Emergency Registered Nurse
Primary
RN210287
AZ
Other
Enumeration date
12/06/2022
Last updated
12/06/2022
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