Individual
TAMMY WINGFIELD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3300 N SANTA FE TRL, AVONDALE, AZ 85392-6734
(623) 547-1018
(623) 935-2108
Mailing address
3300 N SANTA FE TRL, AVONDALE, AZ 85392-6734
(623) 547-1018
(623) 935-2108
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
LP043164
AZ
Other
Enumeration date
10/06/2016
Last updated
10/07/2016
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