Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 170100000X | Medical Geneticist |
NPI | 1780780825 |
---|---|
Provider Name | Dr. Frances Rusher Tennant |
First Address | Sacramento, CA 95833-9702 |
Second Address | Sacramento, CA 95819-3226 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 16/09/2006 |
Last Update Date | 08/07/2007 |