Quintin Dean Tennant LVN

NPI 1497936082 - Licensed Vocational Nurse - 164X00000X

NPI Details
NPI 1497936082
Gender Male
Enumeration Date 11/24/2007
Last Updated 11/24/2007
Entity Type Individual
Active Over 10 years ago
Practice Location
1312 ENCHANTE WAY
OCEANSIDE CA, 92056-5672, US
Phone (760) 390-3517
Fax
Business Location
1312 ENCHANTE WAY
OCEANSIDE CA, 92056-5672, US
Phone (760) 390-3517
Fax
Toxanomy
Taxonomy Code 164X00000X
License State California
License Number VN158149
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According to our database, Mr. Quintin Dean Tennant LVN NPI is 1497936082, taxonomy code is 164X00000X and license number is VN158149, license state is located at California. Quintin Dean Tennant LVN physically located at 1312 Enchante Way, Oceanside CA, 92056-5672. NPI Number Quintin Dean Tennant LVN has the Individual type.

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1497936082 NPI number is provided on an as is basis without warranty of any kind. 1497936082 is maintained by the National Plan & Provider Enumeration System. The contents of Quintin Dean Tennant LVN are for informational purposes only.