Individual
CHARISSE TENNANT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
8019 S. COMPTON AVE., LOS ANGELES, CA 90001
(323) 586-7333
Mailing address
12350 E. DEL AMO BLVD., #1516, LAKEWOOD, CA 90715
(562) 841-1066
Taxonomy
Speciality
Code
Description
License number
State
225400000X
Rehabilitation Practitioner
Primary
—
—
Other
Enumeration date
06/06/2007
Last updated
07/08/2007
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