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NPI Code Detail

MEDICARE: TAMMY LYNN STUMBAUGH M.S.

MEDICARE:   TAMMY LYNN STUMBAUGH  M.S.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1170300000XGenetic Counselor (M.S.)

General Provider Information

NPI Number : 1114951399
Entity Type Code : Individual
Provider Name (Legal Business Name) : TAMMY LYNN STUMBAUGH M.S.
Provider Business Mailing Address
First Line : 1600 KAPIOLANI BLVD
Second Line : SUITE 1025
City : HONOLULU
State : HI
Zip : 96814-3801
Country : US
Telephone Number : 808-945-2282
Fax Number : 808-945-2239
Provider Business Practice Location Address
First Line : 1600 KAPIOLANI BLVD
Second Line : SUITE 1025
City : HONOLULU
State : HI
Zip : 96814-3801
Country : US
Telephone Number : 808-945-2282
Fax Number : 808-945-2239
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/11/2006
Last Update Date : 07/08/2007

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Directions to “ TAMMY LYNN STUMBAUGH M.S.” Practice Location

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