Individual
MRS. TAMMI ARRANT WILLIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN4
Contact information
Practice address
216 EVANGELINE ST, DERIDDER, LA 70634-4251
(337) 463-4486
(337) 462-2486
Mailing address
1023 NURSERY ST, DEQUINCY, LA 70633-4832
(225) 245-4950
Taxonomy
Speciality
Code
Description
License number
State
163WC1500X
Community Health Registered Nurse
Primary
104551
LA
Other
Enumeration date
11/30/2017
Last updated
11/30/2017
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