Individual
SHERRONDA TISDALE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
630 W PRIEN LAKE RD STE B, LAKE CHARLES, LA 70601-0700
(281) 506-0630
(800) 391-2426
Mailing address
10903 HIGHLAND MEADOW VLG DR APT 404, HOUSTON, TX 77089-5364
(832) 271-9029
(800) 391-2426
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
LA
Other
Enumeration date
05/06/2022
Last updated
05/06/2022
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