Tierra Tenay Derusha
Tierra Tenay Derusha is a Student in an Organized Health Care Education/Training Program in Sacramento, California. Registered with an NPI since 2024.
- In the registry since
- 2024
Practice location Address checks out
4860 Y St Ste 1600Sacramento, CA 95817-2307
Phone: (916) 734-3630
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Specialties & licences
| Student in an Organized Health Care Education/Training Program (primary) | Taxonomy 390200000X |
|---|
Record details
| NPI number | 1700645165 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | March 18, 2024 |
| Last updated in NPPES | April 5, 2024 |
| Certification date | April 5, 2024 |
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