Individual
EMMANUEL YABUT TOLENTINO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2799 W GRAND BLVD, DETROIT, MI 48202-2689
(313) 916-2600
Mailing address
1 FORD PL STE 3A, DETROIT, MI 48202-3450
(313) 874-4806
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
4704285012
MI
363LG0600X
Gerontology Nurse Practitioner
Primary
4704285012
MI
Other
Enumeration date
02/14/2015
Last updated
02/16/2026
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