Individual
TAMIKA LAVONNE TRAMMEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
11211 N BLACK CANYON HWY STE 310, PHOENIX, AZ 85029-4759
(602) 459-3224
Mailing address
11211 N BLACK CANYON HWY STE 310, PHOENIX, AZ 85029-4759
(602) 459-3224
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
Primary
D07971529
AZ
Other
Enumeration date
04/25/2024
Last updated
04/25/2024
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