Individual
MRS. TAMMY MARION
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
69 CHESTER GROOMS RD, WEST UNION, OH 45693-9560
(937) 544-8525
Mailing address
69 CHESTER GROOMS RD, WEST UNION, OH 45693
(937) 544-8525
Taxonomy
Speciality
Code
Description
License number
State
372600000X
Adult Companion
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2300003
—
OH
Enumeration date
12/20/2006
Last updated
07/08/2007
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