Individual
MS. DORIS M TENNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2200 UNIVERSITY AVE (STE 160), INTERIM HEALTH CARE, ST PAUL, MN 55114
(651) 917-3634
(651) 917-3620
Mailing address
2209 TILSEN AVE E, SAINT PAUL, MN 55119-3201
(612) 708-3222
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
Other
Enumeration date
01/17/2007
Last updated
07/08/2007
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