Individual
TAMMY NODLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
400 N PEPPER AVE, COLTON, CA 92324
(513) 309-6980
Mailing address
11660 CHURCH ST, APT 437, RANCHO CUCAMONGA, CA 91730
(513) 309-6980
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
3651
CA
Other
Enumeration date
06/03/2008
Last updated
06/03/2008
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