Individual
ANITA SAMANEGO TOLENTINO-MACARAEG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
591 MCCRAY ST STE 231, HOLLISTER, CA 95023-2224
(831) 636-3116
Mailing address
591 MCCRAY ST STE 231, HOLLISTER, CA 95023-2224
(831) 636-3116
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
A52490
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000000
NONE PROVIDER NUMBEER
CA
Enumeration date
09/07/2006
Last updated
02/11/2025
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