Individual
TAMMY SUE HAFFER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
927 HICKORY GAP RIDGE RD, GENOA, WV 25517-7624
(304) 690-6728
Mailing address
927 HICKORY GAP RIDGE RD, GENOA, WV 25517-7624
(304) 690-6728
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
58792
WV
Other
Enumeration date
12/02/2024
Last updated
12/02/2024
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