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Individual

DR. MAFALDA TESORERO-TENGCO

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
1733 CURIE DR, SUITE 103, EL PASO, TX 79902-2910
(915) 532-2985
(915) 577-9315
Mailing address
1733 CURIE DR, SUITE 103, EL PASO, TX 79902-2910
(915) 532-2985
(915) 577-9315

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
MA57585
NJ
208000000X
Pediatrics Physician
N5430
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
5272301
NJ
05
7475004
NJ
Enumeration date
08/03/2006
Last updated
02/26/2010
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