Individual
TANKISO KATLEHO MOCHACHE
Active
Individual
TANKISO KATLEHO MOCHACHE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DC
Taxonomy
Speciality
Code
Description
License number
State
111NR0400X
Rehabilitation Chiropractor
Primary
12064
TX
Other
Enumeration date
09/11/2012
Last updated
07/17/2013
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