Individual
DEDRA RENE TENTIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW
Contact information
Practice address
1833 SPUR LN, PALM HARBOR, FL 34685-3325
(563) 580-1349
Mailing address
1833 SPUR LN, PALM HARBOR, FL 34685-3325
(563) 580-1349
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
10/02/2023
Last updated
10/02/2023
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