Individual
MISS TAMMY MARIE HARTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RNFA
Contact information
Practice address
606 LAKE ST APT 9, HUNTINGTON BEACH, CA 92648-4705
(760) 964-1261
Mailing address
606 LAKE ST APT 9, HUNTINGTON BEACH, CA 92648-4705
(760) 964-1261
Taxonomy
Speciality
Code
Description
License number
State
163WR0006X
Registered Nurse First Assistant
Primary
513774
CA
Other
Enumeration date
01/09/2008
Last updated
01/09/2008
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