Most Relevant Information
Provider Data
| NPI Number: | 1003544800 |
| Provider Name: | MATISHA RENEE TENSLEY |
| Entity Type: | Individual |
| Taxonomy Code: | 171M00000X |
| Specialty: | Case Manager/Care Coordinator |
| License Number: | 35606864 |
Most Important Dates
| Enumeration Date: | 08/10/2022 |
| Last Updated: | 03/07/2023 |
Provider Practice Location
1960 E COUNTY LINE RD
MINERAL RIDGE
OH
444409451
Practice Location Phone/Fax
| Phone: | 9804226244 |
| Fax: |
Provider Mailing Location
1960 E COUNTY LINE RD
MINERAL RIDGE
OH
444409451
Provider Mailing Phone/Fax
| Phone: | 9804226244 |
| Fax: |