TENZIN DESA

PEORIA, IL
NPI1881986230
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy207L00000X Anesthesiology
(Licence: IL  036-138262)
Enumeration Date2011-05-04
Last Update Date2015-06-16
Business Address
-- TENZIN DESA M.D.
8600 STATE ROUTE 91 STE 250
PEORIA, IL 61615-7831
Phone number: 309-692-5393
Mailing Address
-- TENZIN DESA M.D.
8600 STATE ROUTE 91 STE 250
PEORIA, IL 61615-7831
Phone number: 309-692-5393