Individual
TERI YVONNE HOLSEBERG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MEDICAL TATTOO
Contact information
Practice address
3615 W PIONEER PKWY STE E, PANTEGO, TX 76013-4518
(817) 437-0312
Mailing address
715 N MAIN ST APT 3105, MANSFIELD, TX 76063-4598
(817) 437-0312
Taxonomy
Speciality
Code
Description
License number
State
246Z00000X
Other Specialist/Technologist
Primary
—
—
Other
Enumeration date
01/02/2023
Last updated
10/04/2023
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