Individual
MS. TAMMY RENEE DUVAL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
1950 S SONOMA RANCH BLVD, LAS CRUCES, NM 88011-1706
(575) 527-9330
Mailing address
8408 ROCKY ACRES TRL, LAS CRUCES, NM 88007
(575) 644-5084
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
483
NM
Other
Enumeration date
10/19/2012
Last updated
10/19/2012
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