Derienzo, Tina Louise

Derienzo, Tina Louise is an individual health care provider with primary practice located at 506 W Jackman St , Lancaster CA 93534-2531. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Rehabilitation Practitioner, which is considered as her primary health care specialty. Derienzo, Tina Louise can be contacted via phone (661) 726-2850.

Contact Information

Primary practice address
506 W Jackman St Lancaster CA 93534-2531
Phone: (661) 726-2850
Fax: (661) 579-8367
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Rehabilitation Practitioner 225400000X

Profile Details

NPI number 1568794972
LBN Legal business name Derienzo, Tina Louise
Credentials CPRP
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 10th, 2010
Last updated Jun 27th, 2013 - about 12 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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