TAMMY LARK HONOLD

IGNACIO, CO
NPI1033103544
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy124Q00000X Dental Hygienist
(Licence: CO  201905)
Enumeration Date2005-09-12
Last Update Date2007-07-08
Business Address
Ms. TAMMY LARK HONOLD RDH
123 HWY 172
IGNACIO, CO 81137
Phone number: 970-563-4581
Mailing Address
Ms. TAMMY LARK HONOLD RDH
680 SAGEWOOD DR
IGNACIO, CO 81137-9100
Phone number: 970-563-4581
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