Individual
MS. TENA MARIE HART
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMP
Contact information
Practice address
2278 COUNTRY BROOK CIR, ANCHORAGE, AK 99502-4639
(360) 303-5488
Mailing address
2278 COUNTRY BROOK CIR, ANCHORAGE, AK 99502-4639
(360) 303-5488
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
MA00021636
WA
Other
Enumeration date
06/03/2007
Last updated
07/08/2007
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