Individual
TAMMY LEE SEPULVEDA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
601 INDIAN TRL, HARKER HEIGHTS, TX 76548-1347
(254) 699-8810
(254) 699-9206
Mailing address
601 INDIAN TRL, HARKER HEIGHTS, TX 76548-1347
(254) 699-8810
(254) 699-9206
Taxonomy
Speciality
Code
Description
License number
State
183700000X
Pharmacy Technician
Primary
205011
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3012360
3012360
TX
Enumeration date
08/16/2022
Last updated
08/16/2022
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