Tammy Riddle

NPI #1407492804 in Kennett, Missouri

Provider Information

NPI Number: 1407492804
Entity Type: Individual
Name: Tammy Riddle
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Technician
Enumeration Date: Nov 20, 2019
Last Updated: Nov 20, 2019

Practice Location

Address: 925 HWY VV
City: Kennett
State: Missouri
ZIP Code: 63857-6385
Phone: (573) 888-5925

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Technician	374700000X	Primary

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