Individual
TENAY LEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1151 NANTICOKE ST, BALTIMORE, MD 21230-1918
(301) 377-6126
Mailing address
1151 NANTICOKE ST, BALTIMORE, MD 21230-1918
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
795027
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
795027
—
NY
Enumeration date
04/07/2021
Last updated
04/07/2021
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