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Individual

CHRISTINA BERNADETTE TANIOS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
OD

Contact information

Practice address
9000 W WISCONSIN AVE, MILWAUKEE, WI 53226-4874
(407) 314-2024
Mailing address
798 E CHARING CROSS CIR, LAKE MARY, FL 32746-3770
(407) 314-2024

Taxonomy

Speciality
Code
Description
License number
State
152WP0200X
Pediatric Optometrist
4034-35
WI
152WP0200X
Pediatric Optometrist
Primary
OPT.007401
OH
390200000X
Student in an Organized Health Care Education/Training Program

Other

Enumeration date
07/15/2024
Last updated
08/07/2025
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