| NPI | 1710356456 |
|---|---|
| Other Name | TESSIE DALLAS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 246QM0706X Spec/Tech, Pathology, Medical Technologist (Licence: SC MT 179117) |
| Additional Taxonomies | 246QM0706X Spec/Tech, Pathology, Medical Technologist (Licence: NC HEW 44060069) |
| 246QM0706X Spec/Tech, Pathology, Medical Technologist (Licence: LA 201342.GEN) | |
| Enumeration Date | 2015-09-23 |
| Last Update Date | 2015-09-23 |