Individual
MS. TAMARA J DAMON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1152 W HORSESHOE AVE, GILBERT, AZ 85233-5266
(480) 307-4717
Mailing address
1152 W HORSESHOE AVE, GILBERT, AZ 85233-5266
(480) 307-4717
Taxonomy
Speciality
Code
Description
License number
State
136A00000X
Registered Dietetic Technician
Primary
86063970
AZ
Other
Enumeration date
08/30/2019
Last updated
08/30/2019
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