Individual
TENISHA BLACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5201 HAYES ST NE APT 221, WASHINGTON, DC 20019-5564
(202) 758-8011
Mailing address
5201 HAYES ST NE APT 221, WASHINGTON, DC 20019-5564
(202) 758-8011
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
12/12/2023
Last updated
12/12/2023
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