Individual
PAMELA BISONG TANYI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2424 WILCREST DR, HOUSTON, TX 77042-2761
(713) 666-8287
Mailing address
11518 MOSSMORRAN LN, RICHMOND, TX 77407-2185
(832) 539-6097
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
308338
TX
Other
Enumeration date
02/19/2019
Last updated
02/19/2019
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