TAMMY FAIRCLOTH

SUPERIOR, CO
NPI1568994952
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy163W00000X Registered Nurse
(Licence: CO  RN0197223)
Enumeration Date2017-04-03
Last Update Date2017-04-03
Business Address
-- TAMMY FAIRCLOTH
1340 STONEHAM ST
SUPERIOR, CO 80027-8143
Phone number: 904-651-1575
Mailing Address
-- TAMMY FAIRCLOTH
1340 STONEHAM ST
SUPERIOR, CO 80027-8143
Phone number: