Provider Demographics
NPI:1013591882
Name:TENORIO, CHRISTINA (LACTATION CONSULTANT)
Entity Type:Individual
Prefix:
First Name:CHRISTINA
Middle Name:
Last Name:TENORIO
Suffix:
Gender:F
Credentials:LACTATION CONSULTANT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:25438 HYACINTH ST
Mailing Address - Street 2:
Mailing Address - City:CORONA
Mailing Address - State:CA
Mailing Address - Zip Code:92883-3128
Mailing Address - Country:US
Mailing Address - Phone:562-440-4748
Mailing Address - Fax:
Practice Address - Street 1:4300 GREEN RIVER RD
Practice Address - Street 2:
Practice Address - City:CORONA
Practice Address - State:CA
Practice Address - Zip Code:92878-2306
Practice Address - Country:US
Practice Address - Phone:562-440-4748
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-05-07
Last Update Date:2021-05-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAL-19244174N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174N00000XOther Service ProvidersLactation Consultant, Non-RN