Individual
DIANA ELIZABETH TENNYSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN, FNP
Contact information
Practice address
12826 PHILADELPHIA ST, SUITE A, WHITTIER, CA 90601-4117
(562) 789-9908
(562) 789-9418
Mailing address
10837 CANELO RD, WHITTIER, CA 90604-1902
(562) 941-2292
(562) 941-2292
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
524262; 20960
CA
Other
Enumeration date
10/30/2012
Last updated
10/30/2012
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