Individual
TAMI POLLOCK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
961 CLADDAGH LN, NEW HAVEN, MO 63068-2729
(636) 221-2782
Mailing address
961 CLADDAGH LN, NEW HAVEN, MO 63068-2729
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
2012038128
MO
Other
Enumeration date
12/27/2016
Last updated
12/27/2016
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