NPI 1003617234
Tammy Domer
Practice location
- Address
- 397 Mid Atlantic Pkwy STE 1, Martinsburg, WV 25404-7468
- Phone
- (304) 267-3997
- Fax
- (304) 471-2488
- Mailing address
- 28 Silas CT, Inwood, WV 25428-4985
Registered specialties
Homemaker
Primary
Registry record
- NPI
- 1003617234
- Entity type
- Individual
- Sex (as registered)
- Female
- NPI issued
- 24 Mar 2025
- Record last updated
- 24 Mar 2025
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.