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Individual

TAMMALYNN A. BAMBULAS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CNM

Contact information

Practice address
2601 E ROOSEVELT ST, PHOENIX, AZ 85008-4973
(602) 344-5119
(602) 344-5894
Mailing address
2929 E THOMAS RD, PHOENIX, AZ 85016-8034
(602) 470-5000

Taxonomy

Speciality
Code
Description
License number
State
367A00000X
Advanced Practice Midwife
Primary
079701
AZ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
419582
AZ
Enumeration date
07/26/2006
Last updated
02/27/2015
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