Individual
ALICIA TENNANT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
1880 CENTURY PARK E, LOS ANGELES, CA 90067-1600
(844) 644-4325
Mailing address
18530 MAYALL ST UNIT F, NORTHRIDGE, CA 91324-1443
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
756365
CA
Other
Enumeration date
09/17/2018
Last updated
09/17/2018
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