Provider Demographics
NPI:1902058183
Name:GENUINO, MARIA TERESA DEL ROSARIO (RN)
Entity Type:Individual
Prefix:MRS
First Name:MARIA TERESA
Middle Name:DEL ROSARIO
Last Name:GENUINO
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
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Mailing Address - Street 1:1230 E MERION COURT
Mailing Address - Street 2:
Mailing Address - City:ONTARIO
Mailing Address - State:CA
Mailing Address - Zip Code:91761-7049
Mailing Address - Country:US
Mailing Address - Phone:951-797-9447
Mailing Address - Fax:951-797-9447
Practice Address - Street 1:1230 E MERION COURT
Practice Address - Street 2:
Practice Address - City:ONTARIO
Practice Address - State:CA
Practice Address - Zip Code:91761-7049
Practice Address - Country:US
Practice Address - Phone:951-797-9447
Practice Address - Fax:951-797-9447
Is Sole Proprietor?:Yes
Enumeration Date:2008-10-19
Last Update Date:2009-08-23
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CA631417163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse