Individual
TAMMY L HIXON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3267 S COTTONWOOD DR, CHANDLER, AZ 85286-2381
(509) 981-9890
Mailing address
3267 S COTTONWOOD DR, CHANDLER, AZ 85286-2381
(509) 981-9890
Taxonomy
Speciality
Code
Description
License number
State
3747A0650X
Attendant Care Provider
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
NA
NA
—
Enumeration date
08/23/2019
Last updated
08/23/2019
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