Individual
VINCENT R TOLENTINO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
10 2ND AVE, HASKELL, NJ 07420-1109
(973) 519-1996
Mailing address
173 ALPS RD, WAYNE, NJ 07470-6024
(973) 519-1996
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
26NP06590700
NJ
Other
Enumeration date
03/18/2021
Last updated
03/18/2021
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