| NPI | 1568049740 |
|---|---|
| Professional Name | TISHA STEWART |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 246RP1900X Technician, Pathology, Phlebotomy (Licence: VA 671228110014) |
| Additional Taxonomies | 202K00000X (Licence: VA 671228110014) |
| Enumeration Date | 2021-03-25 |
| Last Update Date | 2021-06-15 |