Individual
TAMMY L KING
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
104 S PLAZA, TAOS, NM 87571-5957
(575) 751-1565
(575) 751-1907
Mailing address
104 S PLAZA, TAOS, NM 87571-5957
(575) 751-1565
(575) 751-1907
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
184373
—
Other
Enumeration date
08/27/2011
Last updated
08/27/2011
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