Individual
HAZEL TOLENTINO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
12590 JUNIPER TER, SANTA FE SPRINGS, CA 90670-3897
(562) 508-4274
Mailing address
12590 JUNIPER TER, SANTA FE SPRINGS, CA 90670-3897
(562) 508-4274
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
8450
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
8450
PT ASSISTANT LICENSE
CA
Enumeration date
11/14/2016
Last updated
11/14/2016
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