KATHERINE LAURA TISON

WILMINGTON, NC
NPI1740676022
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy207K00000X Allergy & Immunology
(Licence: NC  2021-01418)
Enumeration Date2015-04-13
Last Update Date2023-10-30
Business Address
KATHERINE LAURA TISON
1017 ASHES DR STE 206
WILMINGTON, NC 28405-8308
Phone number: 910-239-9584
Mailing Address
KATHERINE LAURA TISON
PO BOX 603725
CHARLOTTE, NC 28260-3725
Phone number: 828-575-2625