Individual
SYDNEY TENBOER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1363 W SPRUCE AVE, WASILLA, AK 99654-5327
(907) 315-8989
Mailing address
301 N SPRUCE DR APT 3, WASILLA, AK 99654-7480
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
—
Other
Enumeration date
06/04/2020
Last updated
07/13/2020
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