TANISSEA RICHARDSON

FORT BRAGG, NC
NPI1174975635
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy124Q00000X Dental Hygienist
(Licence: NC  9188)
Enumeration Date2016-07-08
Last Update Date2016-07-08
Business Address
TANISSEA RICHARDSON
2817 REILLY ST
FORT BRAGG, NC 28310-7324
Phone number: 910-643-2196
Mailing Address
TANISSEA RICHARDSON
2817 REILLY ST
FORT BRAGG, NC 28310-7324
Phone number: 910-643-2196
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