Individual
COURTNEY NICOLE TENNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3333 TURTLE CREEK DR APT 427, PORT ARTHUR, TX 77642-8089
(409) 293-0286
Mailing address
3333 TURTLE CREEK DR APT 427, PORT ARTHUR, TX 77642-8089
(409) 293-0286
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
Other
Enumeration date
10/11/2018
Last updated
10/11/2018
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