Individual
TAMMY SELF
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CPT
Contact information
Practice address
11017 PERKINS RD STE B, BATON ROUGE, LA 70810-3007
(225) 436-9333
Mailing address
310 SELF RD, GREENSBURG, LA 70441-3245
(225) 436-9333
Taxonomy
Speciality
Code
Description
License number
State
246RP1900X
Phlebotomy Technician
Primary
—
LA
Other
Enumeration date
05/29/2024
Last updated
05/29/2024
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