Individual
KIERSTEN TENORIO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
689 CAROLINA DR, BERNALILLO, NM 87004-6621
(505) 999-0292
Mailing address
689 CAROLINA DR, BERNALILLO, NM 87004-6621
(505) 999-0292
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
07/25/2022
Last updated
07/25/2022
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