Individual
TAMMY MARIE WHITAKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
1247 N RIVER RD, FREMONT, OH 43420-9760
(410) 332-0357
(419) 332-8404
Mailing address
303 GARFIELD ST, LINDSEY, OH 43442-3006
(419) 463-7081
(419) 332-8404
Taxonomy
Speciality
Code
Description
License number
State
163WG0000X
General Practice Registered Nurse
Primary
RN469435
OH
Other
Enumeration date
06/15/2021
Last updated
06/15/2021
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