Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 174N00000X | Lactation Consultant | L-19244 | CA |
NPI | 1013591882 |
---|---|
Provider Name | Christina Tenorio |
First Address | Corona, CA 92883-3128 |
Second Address | Corona, CA 92878-2306 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 07/05/2021 |
Last Update Date | 07/05/2021 |