Most Relevant Information
Provider Data
| NPI Number: | 1003579699 |
| Provider Name: | RAQUEL BRANDY TIERNEY |
| Entity Type: | Individual |
| Taxonomy Code: | 101Y00000X |
| Specialty: | Counselor |
| License Number: |
Most Important Dates
| Enumeration Date: | 10/20/2021 |
| Last Updated: | 04/04/2023 |
Provider Practice Location
4417 E INYO ST # MODB
FRESNO
CA
937022977
Practice Location Phone/Fax
| Phone: | 5596004674 |
| Fax: |
Provider Mailing Location
1217 E PERRIN AVE APT 202
FRESNO
CA
937205047
Provider Mailing Phone/Fax
| Phone: | 5594942217 |
| Fax: |