Individual
TONJA DEEM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
AGACNP-BC
Contact information
Practice address
815 S WAHSHINGTON AVE STE 302, MARSHALL, TX 75670
(903) 934-5400
(903) 934-5401
Mailing address
PO BOX 846098, DALLAS, TX 75284
(903) 324-6400
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
AP136736
TX
Other
Enumeration date
03/01/2018
Last updated
03/29/2018
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