Individual
EDWIN SENU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2441 OLD NILES FERRY RD, MARYVILLE, TN 37803-8801
(865) 320-0030
Mailing address
2441 OLD NILES FERRY RD, MARYVILLE, TN 37803-8801
(865) 320-0030
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
Q066385
—
TN
Enumeration date
07/15/2021
Last updated
07/15/2021
About Stedi
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