Individual
TAMARA SUE ALT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN CASE MANAGER
Contact information
Practice address
111 VIRGINIA AVE, PETERSBURG, WV 26847-1713
(304) 257-1666
(304) 257-9145
Mailing address
111 VIRGINIA AVE, PETERSBURG, WV 26847-1713
(304) 257-1666
(304) 257-9145
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
07/10/2020
Last updated
07/10/2020
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