Individual
TERESITA MUNGUIA TOLENTINO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
IBCLC
Contact information
Practice address
16 TALMADGE AVE, SAN JOSE, CA 95127-1952
(408) 821-4462
Mailing address
16 TALMADGE AVE, SAN JOSE, CA 95127-1952
(408) 821-4462
Taxonomy
Speciality
Code
Description
License number
State
174N00000X
Lactation Consultant (Non-RN)
Primary
11082772
CA
Other
Enumeration date
10/15/2012
Last updated
10/22/2012
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