Organization
THE HOUSE OF TABITHA LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
QUENESHIA TILLMAN (OWNER)
(702) 672-4309
Entity
Organization
Contact information
Practice address
1003 MAYFLOWERS LN, LANCASTER, TX 75134-4614
(702) 672-4309
Mailing address
1003 MAYFLOWERS LN, LANCASTER, TX 75134-4614
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Enumeration date
07/21/2021
Last updated
07/21/2021
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