Tenneal Roseshon Payne
Rehabilitation Practitioner in Los Angeles, CA. Individual provider (NPI-1).
NPI number1154559615
StatusActive
Last updated in NPPESJun 23, 2009
Details
- NPI
- 1154559615
- Entity type
- Individual (NPI-1)
- Name
- Tenneal Roseshon Payne
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jun 23, 2009
- Last updated
- Jun 23, 2009
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225400000X | Rehabilitation Practitioner | – | – | Yes |
Practice location
1968 W Adams Blvd Ste 101Los Angeles, CA 90018-3510
Phone 626-395-7100
Mailing address
1968 W Adams Blvd Ste 101Los Angeles, CA 90018-3510
Phone 626-395-7100
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