Individual
TAMMY BARDON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2005 ASBURY RD, DUBUQUE, IA 52001-3042
(563) 583-7357
Mailing address
45 ALPINE ST, DUBUQUE, IA 52001-7328
(563) 590-2306
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
091280
IA
Other
Enumeration date
12/01/2016
Last updated
12/01/2016
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