Individual
GREGORY TOLENTINO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1704 MIAMI AVE, KINGMAN, AZ 86401-4021
(971) 716-7867
Mailing address
1704 MIAMI AVE, KINGMAN, AZ 86401-4021
(971) 716-7867
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
30477
AZ
Other
Enumeration date
03/14/2025
Last updated
03/14/2025
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