Individual
BABY NELLIE TAMAYO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
10021 12TH AVE S, TACOMA, WA 98444-4106
(253) 302-5926
Mailing address
10021 12TH AVE S, TACOMA, WA 98444-4106
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
AP60729897
WA
Other
Enumeration date
02/05/2017
Last updated
02/05/2017
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