Individual
CASSANDRA TENNEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
516 E NIZHONI BLVD, GALLUP INDIAN MEDICAL CENTER, GALLUP, NM 87301
(505) 722-1000
Mailing address
PO BOX 395, TAHLEQUAH, OK 74465-0395
(417) 260-3787
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
R0052364
OK
Other
Enumeration date
11/04/2016
Last updated
11/04/2016
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