Individual
LARRY TOLINO JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
105 GENERAL CROOK ST., FORT APACHE, AZ 85926
(928) 338-1021
(928) 338-1022
Mailing address
PO BOX 730, FORT APACHE, AZ 85926
(928) 338-1021
(928) 338-1022
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
08/24/2021
Last updated
08/24/2021
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