Individual
TAMMY LYNN BOGGS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
509 W 1ST ST, MT PLEASANT, TX 75455-4336
(903) 401-8958
Mailing address
1715 W 5TH ST, HOPE, AR 71801-8704
(319) 230-9157
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
P58191
IA
Other
Enumeration date
10/28/2020
Last updated
10/28/2020
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