Individual
JOHN MARIUS AGRAVIO TOLENTINO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
APRN, FNP-C
Contact information
Practice address
3557 WINTER WREN ST, LAS VEGAS, NV 89122-3539
(702) 445-4092
Mailing address
5510 S FORT APACHE RD STE 13, LAS VEGAS, NV 89148-7700
(702) 268-8900
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
835286
NV
Other
Enumeration date
10/21/2020
Last updated
02/13/2024
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