Shannah Tenner
NPI #1740629799 in Thousand Oaks, California
Provider Information
- NPI Number
- 1740629799
- Entity Type
- Individual
- Name
- Shannah Tenner
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Specialist
- Enumeration Date
- Jun 21, 2013
- Last Updated
- Sep 20, 2013
Practice Location
- Address
- 2400 WILLOW LN
- City
- Thousand Oaks
- State
- California
- ZIP Code
- 91361-4958
- Phone
- (805) 778-1771
Specialties & Taxonomy Codes
| Specialty |
|---|
| Specialist |
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