Ruchell Tenner
NPI #1700614765 in Mount Clemens, Michigan
Provider Information
- NPI Number
- 1700614765
- Entity Type
- Individual
- Name
- Ruchell Tenner
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Contractor
- Enumeration Date
- Jul 22, 2024
- Last Updated
- Jul 22, 2024
Practice Location
- Address
- 18 NORTHBOUND GRATIOT AVE
- City
- Mount Clemens
- State
- Michigan
- ZIP Code
- 48043-2408
- Phone
- (313) 775-3644
Specialties & Taxonomy Codes
| Specialty |
|---|
| Contractor |
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