Individual
TAMMY BROOKS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
512 4TH ST NE, DEVILS LAKE, ND 58301-2597
(701) 662-6767
Mailing address
1019 14TH ST NW, DEVILS LAKE, ND 58301-4205
(701) 381-8273
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
—
347C00000X
Private Vehicle
BRO-70-1129
ND
Other
Enumeration date
03/15/2023
Last updated
03/15/2023
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