CARMEN LOREN PEMBERTON

GRAPEVINE, TX
NPI1407140916
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: TX  590614)
Enumeration Date2011-06-01
Last Update Date2011-06-01
Business Address
Mrs. CARMEN LOREN PEMBERTON NP
1245 S MAIN ST
GRAPEVINE, TX 76051-7518
Phone number: 817-301-0922
Mailing Address
Mrs. CARMEN LOREN PEMBERTON NP
12412 SPRUCE DR
FORT WORTH, TX 76244-6757
Phone number: 817-914-1622
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