Individual
DANIELLE TENNIAL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1641 HUTSON RD, MEMPHIS, TN 38116-7933
(901) 870-2222
Mailing address
1641 HUTSON RD, MEMPHIS, TN 38116-7933
(901) 870-2222
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
189651
TN
Other
Enumeration date
12/28/2020
Last updated
12/28/2020
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