Individual
ALYSSA TOLENTINO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
718 MAGNOLIA DR, TUSCALOOSA, AL 35487-0001
(310) 254-0540
Mailing address
1345 10TH AVE E APT 1425B, TUSCALOOSA, AL 35404-3864
(310) 254-0540
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
09/13/2017
Last updated
09/13/2017
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