Individual
CHARLINE MARA TENORIO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CCC-SLP
Contact information
Practice address
2480 HILBORN RD STE 100, FAIRFIELD, CA 94534-1857
(707) 681-0373
Mailing address
1344 SONATA DR, FAIRFIELD, CA 94534-3488
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
CA
Other
Enumeration date
10/17/2025
Last updated
10/17/2025
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