Individual
TAMMY LYNN MICHAELSON
Active
Individual
TAMMY LYNN MICHAELSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
HIS
Taxonomy
Speciality
Code
Description
License number
State
237700000X
Hearing Instrument Specialist
410
CT
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
410
CT
Other
Enumeration date
02/16/2011
Last updated
12/07/2018
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