Individual
MS. TAMMY GAY WATSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3975 GOLDFINCH ST STE 1, SAN DIEGO, CA 92103-2994
(858) 483-4247
(858) 724-3015
Mailing address
3975 GOLDFINCH ST STE 1, SAN DIEGO, CA 92103-2994
(858) 483-4247
(858) 724-3015
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
—
—
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
335E00000X
Prosthetic/Orthotic Supplier
—
—
Other
Enumeration date
11/07/2012
Last updated
03/04/2019
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