| NPI Details | |
|---|---|
| NPI | 1902005614 |
| Gender | Female |
| Enumeration Date | 07/12/2007 |
| Last Updated | 07/12/2007 |
| Entity Type | Individual |
| Active | Over 9 years ago |
| Practice Location | |
|---|---|
| 955 N D ST SAN BERNARDINO CA, 92410-3519, US |
|
| Phone | (909) 885-4645 |
| Fax | (909) 885-8574 |
| Business Location | |
|---|---|
| PO BOX 7369 REDLANDS CA, 92375-0369, US |
|
| Phone | (909) 335-7067 |
| Fax | (909) 792-2045 |
| Toxanomy | |
|---|---|
| Taxonomy Code | 101Y00000X |
| License State | |
| License Number | |
| Remove 1902005614 NPI Number | |
According to our database, Tamika M Mccullough NPI is 1902005614, taxonomy code is 101Y00000X Tamika M Mccullough physically located at 955 N D St, San Bernardino CA, 92410-3519. NPI Number Tamika M Mccullough has the Individual type.
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1902005614 NPI number is provided on an as is basis without warranty of any kind. 1902005614 is maintained by the National Plan & Provider Enumeration System. The contents of Tamika M Mccullough are for informational purposes only.
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