Carole Ann Tennis

NPI #1811493000 in Waterford, Michigan

Provider Information

NPI Number: 1811493000
Entity Type: Individual
Name: Carole Ann Tennis
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Registered Nurse
Enumeration Date: Apr 5, 2018
Last Updated: Apr 5, 2018

Practice Location

Address: 1016 PELHAM BLVD
City: Waterford
State: Michigan
ZIP Code: 48328-4253
Phone: (124) 868-1025

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Registered Nurse	163W00000X	Primary

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