Doctor Name: | YVONNE TOLENTINO |
NPI Number: | 1740408848 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | BSPT,CNA |
License Number: | 000221 |
Business Practice Address: | 120 Aces Cir Anchorage, AK - 995041175 |
Business Phone Number: | 9079291499 |
Business Fax Number: | 9079291178 |
Mailing Address: | 120 Aces Cir, ANCHORAGE |
State: | AK |
Postal Code: | 995041175 |
Phone Number: | 9079291499 |
Fax Number: | 9079291178 |
NPI Enumeration Date: | 04/23/2007 |
NPI Last Update Date: | 06/28/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 385H00000X |
License Number: | 000221 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | AK |
Taxonomy Type: | Respite Care Facility |
Taxonomy Classification: | Respite Care |
Taxonomy Specialization: | |
Taxonomy Definition: |