Individual
CHRISTINA BERNADETTE TANIOS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OD
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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