| NPI | 1386527620 |
|---|---|
| Former Name | TRIXIE JANE TENEDERO |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163WP0808X Registered Nurse, Psych/Mental Health (Licence: CA 95424647) |
| Enumeration Date | 2025-07-25 |
| Last Update Date | 2025-07-25 |