Pedro Tabernero Jr., R.N.
Registered Nurse, Psych/Mental Health in Ceres, CA. Individual provider (NPI-1).
NPI number1427415744
StatusActive
Last updated in NPPESJan 16, 2016
Details
- NPI
- 1427415744
- Entity type
- Individual (NPI-1)
- Name
- Pedro Tabernero Jr.
- Credential
- R.N.
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Jan 16, 2016
- Last updated
- Jan 16, 2016
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 163WP0808X | Registered Nurse, Psych/Mental Health | 794686 | CA | Yes |
Practice location
1904 Richland AveCeres, CA 95307-4562
Phone 209-300-8800
Mailing address
1536 Maehl DrManteca, CA 95337-7215
Phone 925-216-7030
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