Mr Jose Wilmer Tenesaca, LPN | |
38 Lake Ave, Danbury, CT 06810-6345 | |
(203) 512-9681 | |
Not Available |
Full Name | Mr Jose Wilmer Tenesaca |
---|---|
Gender | Male |
Speciality | Licensed Practical Nurse |
Location | 38 Lake Ave, Danbury, Connecticut |
Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1629425228 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
164W00000X | Licensed Practical Nurse | 286723-1 (New York) | Primary |
Mailing Address | Practice Location Address |
---|---|
Mr Jose Wilmer Tenesaca, LPN 38 Lake Ave, Danbury, CT 06810-6345 Ph: (203) 512-9681 | Mr Jose Wilmer Tenesaca, LPN 38 Lake Ave, Danbury, CT 06810-6345 Ph: (203) 512-9681 |
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