Individual
TENASHA CORIZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CCSS
Contact information
Practice address
816 HIGHWAY 22, PENA BLANCA, NM 87041-8750
(505) 983-6158
Mailing address
PO BOX 449, TESUQUE, NM 87574-0449
(505) 983-6158
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
—
Other
Enumeration date
12/15/2020
Last updated
12/15/2020
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