Individual
TAMARA GRACE PEAVY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
218 DEL MONTE DR, CIBOLO, TX 78108-3290
(210) 765-6480
Mailing address
218 DEL MONTE DR, CIBOLO, TX 78108-3290
(210) 765-6480
Taxonomy
Speciality
Code
Description
License number
State
163WH0200X
Home Health Registered Nurse
Primary
650870
TX
Other
Enumeration date
07/13/2021
Last updated
07/13/2021
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