Individual
TAMMY ERDEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2833 BROWN RD, JEFFERSON, OH 44047-9793
(440) 862-4065
Mailing address
2833 BROWN RD, JEFFERSON, OH 44047-9793
(408) 624-0654
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
2955066
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
75854332
—
OH
Enumeration date
12/02/2022
Last updated
12/02/2022
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