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Individual
SHELLA TENGEN
Active
Individual
SHELLA TENGEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
CSW
DC
374U00000X
Home Health Aide
Primary
HHA15032
DC
Other
Enumeration date
02/18/2020
Last updated
03/31/2023
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