Individual
MRS. TAMISHA E VITAL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
8951 RUTHBY SUITE 6E, HOUSTON, TX 77061
(713) 875-9067
Mailing address
933 ROYAL OAK DR, DICKINSON, TX 77539-4519
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
60688
TX
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
09/09/2020
Last updated
09/09/2020
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