Individual
TAMMY CLEMMONS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
6920 MIRAMAR RD, STE. 305, SAN DIEGO, CA 92121-2632
(858) 935-7373
Mailing address
325 CLOVERLEAF CIR, KILLEN, AL 35645-7043
(256) 366-4343
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
1082123
AL
Other
Enumeration date
12/15/2011
Last updated
12/15/2011
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