Tisha Pemberton

NPI #1396194775 in Graham, Texas

Provider Information

NPI Number
1396194775
Entity Type
Individual
Name
Tisha Pemberton
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Technician, Other
Enumeration Date
Jun 7, 2016
Last Updated
Jun 7, 2016

Practice Location

Address
206 DOE LN
City
Graham
State
Texas
ZIP Code
76450-5854
Phone
(940) 456-4154

Specialties & Taxonomy Codes

Specialty
Technician, Other

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