Individual
EMMERANCE TSHITE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1805 E OVERLAND RD APT 2123, MERIDIAN, ID 83642-6876
(720) 429-4690
Mailing address
1805 E OVERLAND RD APT 2123, MERIDIAN, ID 83642-6876
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
—
—
Other
Enumeration date
03/14/2020
Last updated
03/14/2020
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