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MRS. TAMMY RAE ANDERSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
RN

Contact information

Practice address
70 MALTA AVE, BALLSTON SPA, NY 12020-1529
(518) 882-7290
(518) 884-7286
Mailing address
70 MALTA AVE, BALLSTON SPA, NY 12020-1529
(518) 884-7290
(518) 884-7286

Taxonomy

Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
Primary
22 529713
NY

Other

Enumeration date
12/08/2010
Last updated
12/08/2010
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