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Individual

MARILYN TENNIS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
RN

Contact information

Practice address
812 HELEN ST, GARDEN CITY, MI 48135-3111
(734) 425-6512
Mailing address
812 HELEN ST, GARDEN CITY, MI 48135-3111

Taxonomy

Speciality
Code
Description
License number
State
163WH0200X
Home Health Registered Nurse
Primary
4704098953
MI

Other

Enumeration date
04/04/2018
Last updated
04/04/2018
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