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Individual

MS. ARDIENTES C TOLENTINO

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
NURSE PRACTITIONER

Contact information

Practice address
3030 W BALL RD, ANAHEIM, CA 92804-3805
(714) 423-6500
Mailing address
8390 E WOODSON ST, LONG BEACH, CA 90808-3349
(714) 883-0094

Taxonomy

Speciality
Code
Description
License number
State
207QA0505X
Adult Medicine Physician
Primary
23054
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1265470868
CA
Enumeration date
03/05/2018
Last updated
03/17/2018
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