Individual
BERTHA MARIA TENORIO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
360 WHISKEY HILL RD, WATSONVILLE, CA 95076-8521
(831) 724-9333
Mailing address
360 WHISKEY HILL RD, WATSONVILLE, CA 95076-8521
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
ZZZ92069Z
SANTA CRUZ MEDICAL GROUP PTAN#
CA
Enumeration date
03/10/2011
Last updated
02/10/2017
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