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1043815426
TAMMY DITTA
MONROE, LA
NPI
1043815426
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: LA 216052)
Enumeration Date
2020-12-02
Last Update Date
2020-12-02
Business Address
TAMMY DITTA APRN, FNP
4864 JACKSON ST
MONROE, LA 71202-6400
Phone number: 318-330-7000
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Mailing Address
TAMMY DITTA APRN, FNP
1512 W KIRBY PL
SHREVEPORT, LA 71103-3822
Phone number: 318-629-0284
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