| NPI | 1619400322 |
|---|---|
| Former Name | SERBRINA N. TENNELL |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1744P3200X Specialist, Prosthetics Case Management (Licence: FL HB9327) |
| Enumeration Date | 2017-04-10 |
| Last Update Date | 2017-04-10 |