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Individual

TAMISHA L BRIDGEFORTH

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
RDA & DLT

Contact information

Practice address
1768 PENDLETON ST APT 3, MEMPHIS, TN 38114-7803
(901) 828-0784
Mailing address
1768 PENDLETON ST APT 3, MEMPHIS, TN 38114-7803
(901) 828-0784

Taxonomy

Speciality
Code
Description
License number
State
126900000X
Dental Laboratory Technician
Primary
TN

Other

Enumeration date
02/20/2025
Last updated
02/20/2025
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