Individual
MS. TAMARA DODDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
121 E 2ND ST, BEARDSTOWN, IL 62618-1263
(217) 323-1239
(217) 323-4036
Mailing address
121 E 2ND ST, BEARDSTOWN, IL 62618-1263
(217) 323-1239
(217) 323-4036
Taxonomy
Speciality
Code
Description
License number
State
163WG0000X
General Practice Registered Nurse
Primary
041315897
IL
Other
Enumeration date
06/08/2017
Last updated
07/21/2022
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