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Jordan Tennison

NPI 1962137455 · on the registry since 2022

Practice

Address
4444 Calle Real
Goleta, CA 93110
Phone
(805) 884-1600
Clinicians at this address
6

Registry record

Primary taxonomy
171M00000X
171M00000X
Licence states on file
NULL
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2022-07-19

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California