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Individual

NICHOLAS A. TENNEY

Active
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Individual

NICHOLAS A. TENNEY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Taxonomy

Speciality
Code
Description
License number
State
246ZC0007X
Surgical Assistant
—
NULL
246ZS0410X
Surgical Technologist
171363
CA
246ZS0410X
Surgical Technologist
Primary
171363
NULL
246ZS0410X
Surgical Technologist
Primary
171363
—

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
—
171363
NBSTSA
—
Enumeration date
02/15/2016
Last updated
01/17/2023
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