Individual
MS. TAMMY DIXON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
4000 JENNINGS STATION RD, SAINT LOUIS, MO 63121-3323
(314) 679-7868
Mailing address
4000 JENNINGS STATION RD, SAINT LOUIS, MO 63121-3323
Taxonomy
Speciality
Code
Description
License number
State
163WC1500X
Community Health Registered Nurse
Primary
2009004406
MO
Other
Enumeration date
08/25/2010
Last updated
08/25/2010
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