TABBLE B MEMOLI

MANSFIELD, TX
NPI1184976615
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: TX  1054327)
Additional Taxonomies363LF0000X Nurse Practitioner, Family
(Licence: FL  ARNP9291944)
363LF0000X Nurse Practitioner, Family
(Licence: VA  0024172556)
Enumeration Date2012-10-08
Last Update Date2023-01-27
Business Address
TABBLE B MEMOLI APRN
2901 E BROAD ST
MANSFIELD, TX 76063-9147
Phone number: 972-525-9900
Mailing Address
TABBLE B MEMOLI APRN
PO BOX 360541
PITTSBURGH, PA 15251-6541
Phone number: 972-525-9900