Tamelra Powell
NPI #1356763973 in Montgomery, Illinois
Provider Information
- NPI Number
- 1356763973
- Entity Type
- Individual
- Name
- Tamelra Powell
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Driver
- Enumeration Date
- Jan 16, 2014
- Last Updated
- Jan 16, 2014
Practice Location
- Address
- 2352 RIVA RIDGE RD
- City
- Montgomery
- State
- Illinois
- ZIP Code
- 60538-3407
- Phone
- (630) 966-2012
Specialties & Taxonomy Codes
| Specialty |
|---|
| Driver |
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