Tamelra Powell
NPI 1356763973 · on the registry since 2014
Practice
- Address
- 2352 Riva Ridge Rd
Montgomery, IL 60538 - Phone
- (630) 966-2012
- Fax
- (630) 966-2010
Registry record
- Primary taxonomy
- Driver
172A00000X
- Licence states on file
- IL
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2014-01-16
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Illinois