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Individual

TAMMY ANN DIEFFENBACH

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LM

Contact information

Practice address
611 SW FEDERAL HWY STE M, STUART, FL 34994-2925
(772) 200-4277
(772) 919-4280
Mailing address
611 SW FEDERAL HWY STE M, STUART, FL 34994-2925
(772) 200-4277
(772) 919-4280

Taxonomy

Speciality
Code
Description
License number
State
176B00000X
Midwife
Primary
MW152
FL

Other

Enumeration date
04/04/2007
Last updated
11/07/2017
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