Individual
TISHA PEMBERTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
206 DOE LN, GRAHAM, TX 76450-5854
(940) 456-4154
Mailing address
206 DOE LN, GRAHAM, TX 76450-5854
(940) 456-4154
Taxonomy
Speciality
Code
Description
License number
State
247200000X
Other Technician
Primary
—
—
Other
Enumeration date
06/07/2016
Last updated
06/07/2016
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