Individual
CHRISTIAN DEWAYNE TENNYSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
5609 DARLA DR, OKLAHOMA CITY, OK 73135-4448
(405) 886-8406
Mailing address
5609 DARLA DR, OKLAHOMA CITY, OK 73135-4448
(405) 886-8406
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
06/02/2022
Last updated
06/02/2022
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