NPI | 1841868049 |
---|---|
Former Legal Business Name | TRANSITIONS BY TISHMA |
Entity Type | Organization |
Authorized Contact | TISHMA MCGARRELL Owner 252-876-1176 |
Organization Subpart ? | No |
Primary Taxonomy | 224P00000X Prosthetist |
Enumeration Date | 2021-06-14 |
Last Update Date | 2021-06-14 |