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Individual

TAMARA LYNN UNDERWOOD

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
409 LURAY AVE, LURAY, VA 22835-1443
(540) 551-4039
Mailing address
21 N BROAD ST STE E10048, LURAY, VA 22835-1147
(540) 551-4039
(877) 891-7377

Taxonomy

Speciality
Code
Description
License number
State
133N00000X
Nutritionist
Primary

Other

Enumeration date
01/08/2021
Last updated
01/08/2021
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