Individual
TAMMY MARIE GWIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2867 WYOMING DR, XENIA, OH 45385-4443
(937) 532-8533
Mailing address
2867 WYOMING DR, XENIA, OH 45385-4443
(937) 532-8533
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
OH
Other
Enumeration date
09/27/2021
Last updated
09/27/2021
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