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Individual

ANGELA TANYA STENNIS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
862 JOE YENNI BLVD APT 27, KENNER, LA 70065
(504) 617-5811
Mailing address
862 JOE YENNI BLVD APT 27, KENNER, LA 70065
(504) 617-5811

Taxonomy

Speciality
Code
Description
License number
State
347C00000X
Private Vehicle
Primary
009694217
LA

Other

Enumeration date
05/16/2016
Last updated
05/16/2016
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Product
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  • EDI platform