Individual
ANITA TAMIRISA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3125 TRANSVERSE DR, TOLEDO, OH 43614
(419) 383-3787
(419) 383-6046
Mailing address
3355 GLENDALE AVE FL 3, TOLEDO, OH 43614-2426
(419) 383-3787
(419) 383-6046
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
069649
GA
207V00000X
Obstetrics & Gynecology Physician
Primary
34.013521
OH
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0328126
—
OH
Enumeration date
06/30/2009
Last updated
04/20/2022
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