Individual provider · Type 1 NPI

Te Jah Pemberton

Student in an Organized Health Care Education/Training Program · Grand Junction, CO

NPI number 1174229645 Active

Practice location

2853 North Ave
Grand Junction, CO 81501-5040

Call (970) 256-9424 Map

Mailing address

8600 Creede Trl
Fort Worth, TX 76118-7800

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1174229645

Te Jah Pemberton's National Provider Identifier is 1174229645, issued on Feb 6, 2023. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Grand Junction, CO. The record was last updated on Feb 6, 2023.