MRS. Thara Tenney

NPI #1194863498 in Prescott, Arizona

Provider Information

NPI Number: 1194863498
Entity Type: Individual
Name: MRS. Thara Tenney
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Specialist
Enumeration Date: Feb 1, 2007
Last Updated: Sep 21, 2010

Practice Location

Address: 755 SUNRISE BLVD
City: Prescott
State: Arizona
ZIP Code: 86301-5877
Phone: (928) 533-7869

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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