Individual
TAMMY PERRY SPRUILL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
77 NEALY AVE, HAMPTON, VA 23665-2040
(757) 225-1733
Mailing address
23462 BROOKWOOD CIR, CARROLLTON, VA 23314-2671
Taxonomy
Speciality
Code
Description
License number
State
163WP2201X
Ambulatory Care Registered Nurse
Primary
0001107276
VA
Other
Enumeration date
02/18/2025
Last updated
02/18/2025
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