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Individual
VANESSA CITLALY TELLEZ SORROSA
Active
Individual
VANESSA CITLALY TELLEZ SORROSA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
172V00000X
Community Health Worker
Y6169270
CA
Other
Enumeration date
11/05/2024
Last updated
04/15/2025
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