Individual
TAMMY CHARYSSE ALLGOOD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PCS
Contact information
Practice address
2831 PARKMAN RD NW APT 102, WARREN, OH 44485-1647
(330) 883-0719
Mailing address
2831 PARKMAN RD NW APT 102, WARREN, OH 44485-1647
(330) 883-0719
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0340166
—
OH
Enumeration date
12/16/2020
Last updated
12/18/2020
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