Individual
MEMOUCHEKA PIERRE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5001 OFFICE PARK, ODESSA, TX 79762-4843
(432) 352-8317
Mailing address
4315 ESMOND DR APT 1707, ODESSA, TX 79762-4659
(407) 715-4315
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
214569
FL
Other
Enumeration date
08/28/2018
Last updated
08/28/2018
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