Individual
REBECCA P TENAZAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4949 DILLON CROSS WAY, ANTELOPE, CA 95843-5617
(916) 727-0403
(916) 727-1541
Mailing address
4949 DILLON CROSS WAY, ANTELOPE, CA 95843-5617
(916) 727-0403
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
MTN00884F
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
MTN00884F
—
CA
Enumeration date
01/22/2008
Last updated
01/22/2008
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