Individual
TINA TEHODA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6210 APPLE ROSE DR, ALPHARETTA, GA 30004-5755
(404) 454-3347
Mailing address
6210 APPLE ROSE DR, ALPHARETTA, GA 30004-5755
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN185668
GA
Other
Enumeration date
07/19/2014
Last updated
07/19/2014
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