Individual
TAMMY LYNN HARRIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5200 JOHNSON RD, ODESSA, TX 79764-3720
(432) 210-2718
Mailing address
5200 JOHNSON RD, ODESSA, TX 79764-3720
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
—
—
Other
Enumeration date
04/08/2019
Last updated
04/08/2019
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