| Tammy Jo Parks, LPN | |
|
924 Riggs Ave, Watertown, NY 13601-3842 | |
| (315) 955-5235 | |
| Not Available |
| Full Name | Tammy Jo Parks |
|---|---|
| Gender | Female |
| Speciality | Licensed Practical Nurse |
| Location | 924 Riggs Ave, Watertown, New York |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1285832873 | NPI | - | NPPES |
| 02528009 | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 164W00000X | Licensed Practical Nurse | 261262--1 (New York) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Tammy Jo Parks, LPN 924 Riggs Ave, Watertown, NY 13601-3842 Ph: (315) 955-5235 | Tammy Jo Parks, LPN 924 Riggs Ave, Watertown, NY 13601-3842 Ph: (315) 955-5235 |
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Dawn M Angello, LPN Licensed Practical Nurse Medicare: Not Enrolled in Medicare Practice Location: 717 Davidson St, Watertown, NY 13601 Phone: 315-788-3531 | |
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