Individual
MS. KORINA IRISH LYNNE TOLENTINO DE LOS SANTOS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
13300 N 88TH AVE APT 1053, PEORIA, AZ 85381-2609
(623) 286-9148
Mailing address
1818 N 162ND DR, GOODYEAR, AZ 85395-7152
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
145134
AZ
Other
Enumeration date
10/21/2022
Last updated
11/16/2023
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