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Tamma Jividen

NPI 1477436277 · on the registry since 2025 · sole proprietor

Practice

Address
159 Muddygut Rd
Poca, WV 25159
Phone
(304) 382-4352

Registry record

Primary taxonomy
374U00000X
374U00000X
Sex
Female
Record last updated
2025-07-29

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 West Virginia