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Individual

MISS TAMESHA PATRICE CARMICHAEL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MT

Contact information

Practice address
3904 GATWICK CIR, 2604, FORT WORTH, TX 76155-3823
(817) 842-7577
Mailing address
3813 SUE CIR, FORT WORTH, TX 76119-2241
(817) 842-7577

Taxonomy

Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
59669
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
59669
CAMTC
TX
Enumeration date
12/24/2014
Last updated
12/24/2014
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