Individual
JOSHUA TAMMINGA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1009 RIDGEWAY PL, FARMINGTON, NM 87401-2092
(505) 402-6886
Mailing address
1009 RIDGEWAY PL, FARMINGTON, NM 87401-2092
(505) 402-6886
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
NM
Other
Enumeration date
11/17/2025
Last updated
11/17/2025
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