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Individual

MRS. TAMMY JO PIDDE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
RN

Contact information

Practice address
1660 S COLUMBIAN WAY, C/O SCI SERVICE (128), SEATTLE, WA 98108-1532
(206) 764-2542
(206) 764-2799
Mailing address
1660 S. COLUMBIAN WAY, C/O SCI SERVICE (128), SEATTLE, WA 98108-1532
(206) 764-2332

Taxonomy

Speciality
Code
Description
License number
State
163WH0200X
Home Health Registered Nurse
Primary
RN00086881
WA
163WR0400X
Rehabilitation Registered Nurse
RN00086881
WA

Other

Enumeration date
09/20/2006
Last updated
07/24/2007
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