Provider Demographics
NPI:1013342641
Name:TESNADO, ARNY GRACE ANGUE
Entity Type:Individual
Prefix:MISS
First Name:ARNY GRACE
Middle Name:ANGUE
Last Name:TESNADO
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1908 SENTER RD STE 50
Mailing Address - Street 2:
Mailing Address - City:SAN JOSE
Mailing Address - State:CA
Mailing Address - Zip Code:95112-2629
Mailing Address - Country:US
Mailing Address - Phone:408-200-0995
Mailing Address - Fax:408-279-1437
Practice Address - Street 1:1908 SENTER RD STE 50
Practice Address - Street 2:
Practice Address - City:SAN JOSE
Practice Address - State:CA
Practice Address - Zip Code:95112-2629
Practice Address - Country:US
Practice Address - Phone:408-200-0995
Practice Address - Fax:408-279-1437
Is Sole Proprietor?:No
Enumeration Date:2013-09-13
Last Update Date:2013-09-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator