Individual
MILDRED TOLENTINO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
300 AVENIDA CASIANO CEPEDA ESQUINA BRAZIL, RIO GRANDE, PR 00745-2325
(787) 674-5616
Mailing address
300 AVE CASIANO CEPEDA, BO LAS DOLORES, RIO GRANDE, PR 00745-2325
(787) 674-5616
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
Primary
4013610
PR
Other
Enumeration date
01/20/2017
Last updated
01/20/2017
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