Individual
TAMMY CRACKEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2317 E HOME RD, SPRINGFIELD, OH 45503-2520
(937) 390-8060
Mailing address
2317 E HOME RD, SPRINGFIELD, OH 45503-2520
Taxonomy
Speciality
Code
Description
License number
State
163WA0400X
Addiction (Substance Use Disorder) Registered Nurse
Primary
RN.443276
OH
Other
Enumeration date
08/25/2021
Last updated
08/25/2021
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