Individual
TAHMINEH MARIE TOLENTINO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
1156 HIGH ST, SANTA CRUZ, CA 95064-1077
(831) 331-0050
(831) 247-4061
Mailing address
1156 HIGH ST, SANTA CRUZ, CA 95064-1077
(831) 331-0050
Taxonomy
Speciality
Code
Description
License number
State
2081S0010X
Sports Medicine (Physical Medicine & Rehabilitation) Physician
Primary
BOC159711
CA
226300000X
Kinesiotherapist
—
—
Other
Enumeration date
01/20/2021
Last updated
01/20/2021
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