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Contact Information

TAMMY S AHMOUDA, PN.102856-MEDS
1366 VIMLA WAY
XENIA, OH45385-5731
 Phone: 937-559-2483
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Licensed Practical Nurse

164W00000X
 

Driver

172A00000X
 

Health Educator

174H00000X
Indicates primary specialty

NPI Profile & details for TAMMY S AHMOUDA · (Female)

NPI # 1669850467
Status Active
Credentials PN.102856-MEDS
Entity Individual
Enumeration date 05/12/2015
Last updated 05/12/2015 - About 11 years ago
Sole proprietor 1 No
Identifiers
  • MS License # 2013045400
  • OH License # PN.102856
  • OH License # RR470365
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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