Individual
JENNA GRACE TANCREDI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1935 MEDICAL DISTRICT DR, DALLAS, TX 75235-7701
(954) 262-1250
Mailing address
3015 STATE ST APT 846, DALLAS, TX 75204-2773
(610) 609-9549
Taxonomy
Speciality
Code
Description
License number
State
2080P0203X
Pediatric Critical Care Medicine Physician
PA17348
TX
363A00000X
Physician Assistant
Primary
PA17348
TX
Other
Enumeration date
01/04/2022
Last updated
11/28/2023
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