Individual
WILFRIDO T TOLENTINO JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA C
Contact information
Practice address
1717 HARPER RD FL 3, BECKLEY, WV 25801-3373
(304) 254-3131
(304) 254-3037
Mailing address
1717 HARPER RD FL 3, BECKLEY, WV 25801-3373
(304) 254-3131
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
00690
WV
363AS0400X
Surgical Physician Assistant
Primary
690
WV
Other
Enumeration date
07/07/2006
Last updated
11/09/2023
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