Individual
TENNYSON BLOCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2020 SUTTER PL STE 104, DAVIS, CA 95616-6217
(530) 750-5900
Mailing address
PO BOX 255228, SACRAMENTO, CA 95865-5228
Taxonomy
Speciality
Code
Description
License number
State
207XS0106X
Orthopaedic Hand Surgery Physician
21068
NV
207XS0106X
Orthopaedic Hand Surgery Physician
Primary
A147885
CA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/25/2015
Last updated
06/06/2023
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