Individual
TAMMY BEAVERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2206 FAIRVIEW RD, MARIANNA, FL 32448-2658
(850) 272-8678
Mailing address
2206 FAIRVIEW RD, MARIANNA, FL 32448-2658
(850) 272-8678
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
Other
Enumeration date
01/26/2015
Last updated
01/26/2015
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