Individual
FELICIA LYNN TENNY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
5016 DORSEY HALL DR, SUITE 102, ELLICOTT CITY, MD 21042-7823
(410) 997-1808
Mailing address
5016 DORSEY HALL DR, SUITE 102, ELLICOTT CITY, MD 21042-7823
(410) 997-1808
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
M05399
MD
Other
Enumeration date
03/22/2015
Last updated
03/22/2015
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