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Individual

MR. BOBBY LEE TENNER SR.

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
3700 9TH ST SE APT 125, WASHINGTON, DC 20032-4009
(202) 910-2840
Mailing address
3700 9TH ST SE APT 125, WASHINGTON, DC 20032-4009
(202) 910-2840

Taxonomy

Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary

Other

Enumeration date
07/22/2021
Last updated
07/22/2021
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