Individual
TAMMY K MAYER
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
RN, MPH
Contact information
Practice address
1585 3RD ST, FORT POLK, LA 71459-5102
(337) 531-4740
(337) 531-6764
Mailing address
1585 3RD ST, FORT POLK, LA 71459-5102
(337) 531-4740
(337) 531-6764
Taxonomy
Speciality
Code
Description
License number
State
163WC1500X
Community Health Registered Nurse
Primary
135276
MO
Other
Enumeration date
03/31/2006
Last updated
07/08/2007
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