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Individual

TAMMY LYNN TAGGE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
703 N LA BREDA AVE, WEST COVINA, CA 91791-1118
(626) 840-8816
Mailing address
703 N LA BREDA AVE, WEST COVINA, CA 91791-1118
(626) 840-8816

Taxonomy

Speciality
Code
Description
License number
State
133NN1002X
Nutrition Education Nutritionist
Primary
CA

Other

Enumeration date
08/02/2024
Last updated
08/02/2024
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