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1033855788
SHERRONDA TISDALE
LAKE CHARLES, LA
NPI
1033855788
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
343900000X Non-emergency Medical Transport (VAN)
Enumeration Date
2022-05-06
Last Update Date
2022-05-06
Business Address
SHERRONDA TISDALE
630 W PRIEN LAKE RD STE B
LAKE CHARLES, LA 70601-0700
Phone number: 281-506-0630
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Mailing Address
SHERRONDA TISDALE
10903 HIGHLAND MEADOW VLG DR APT 404
HOUSTON, TX 77089-5364
Phone number: 832-271-9029
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