Organization
MODERM WOUND CARE SPECIALIST LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TAMARA PIPPIN (OWNER)
(888) 211-1498
Entity
Organization
Contact information
Practice address
2263 FINCH CIR, SAN JACINTO, CA 92582-6964
(888) 211-1498
Mailing address
2263 FINCH CIR, SAN JACINTO, CA 92582-6964
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
—
—
363L00000X
Nurse Practitioner
—
—
Other
Enumeration date
08/04/2025
Last updated
08/04/2025
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