Provider Demographics
NPI:1316368947
Name:STOKES, TAMMY (CPM, LM)
Entity Type:Individual
Prefix:
First Name:TAMMY
Middle Name:
Last Name:STOKES
Suffix:
Gender:F
Credentials:CPM, LM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:35385 BEECH AVE
Mailing Address - Street 2:
Mailing Address - City:YUCAIPA
Mailing Address - State:CA
Mailing Address - Zip Code:92399-3923
Mailing Address - Country:US
Mailing Address - Phone:909-553-4366
Mailing Address - Fax:
Practice Address - Street 1:35385 BEECH AVE
Practice Address - Street 2:
Practice Address - City:YUCAIPA
Practice Address - State:CA
Practice Address - Zip Code:92399-3923
Practice Address - Country:US
Practice Address - Phone:909-553-4366
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-12-27
Last Update Date:2013-12-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA384176B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes176B00000XOther Service ProvidersMidwife