Individual
ANGELICA MARIE TESORIERO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
630 ALTA VISTA DR STE 202, VISTA, CA 92084-5506
(760) 275-1469
Mailing address
630 ALTA VISTA DR STE 202, VISTA, CA 92084-5506
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
7338
CA
Other
Enumeration date
01/27/2020
Last updated
01/27/2020
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