Individual
TAMMY IMPERIAL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
125 HOLLY RD, HAMBURG, PA 19526-8729
(610) 562-2284
Mailing address
655 S WILLOW ST STE 128, MANCHESTER, NH 03103-5705
(800) 995-2673
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
LPN14116
ME
164W00000X
Licensed Practical Nurse
Primary
PN283579
PA
Other
Enumeration date
06/27/2019
Last updated
06/27/2019
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