Individual
EVELYN RAE TENNANT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
802 E GORHAM ST, MADISON, WI 53703-1524
(608) 280-4700
Mailing address
4514 HAMMERSLEY RD APT 8, MADISON, WI 53711-2752
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
11/15/2024
Last updated
11/15/2024
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