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NPI Profile for TAMMY J BASSILE in WEST MELBOURNE, FL.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Professional |
101YP2500X |
| NPI Number | 1588954432 |
|
| Status | Active | |
| Credentials | RN, MA | |
| Entity | Individual | |
| Enumeration date | 04/12/2011 | |
| Last updated | 04/12/2011 - About 15 years ago | |
| Sole proprietor 1 | Yes | |
| Identifiers | Not Available | |
| Hospital affiliation(s) | Not Available |
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TAMMY J BASSILE, RN, MA