Individual
MR. JOSE WILMER TENESACA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
L.P.N
Contact information
Practice address
38 LAKE AVE, DANBURY, CT 06810-6345
(203) 512-9681
Mailing address
38 LAKE AVE, DANBURY, CT 06810-6345
(203) 512-9681
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
286723-1
NY
Other
Enumeration date
05/24/2016
Last updated
05/24/2016
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