Individual
TAMMARA ELENA USEDO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CPM, LM
Contact information
Practice address
28003 ELEYS FORD RD, RICHARDSVILLE, VA 22736-1740
(203) 224-0963
Mailing address
28003 ELEYS FORD RD, RICHARDSVILLE, VA 22736-1740
Taxonomy
Speciality
Code
Description
License number
State
176B00000X
Midwife
Primary
0129000150
VA
Other
Enumeration date
06/12/2020
Last updated
06/12/2020
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