Provider Demographics
NPI:1154551117
Name:TOLENTINO, LINDA HUANG (LAC, MAC)
Entity type:Individual
Prefix:
First Name:LINDA
Middle Name:HUANG
Last Name:TOLENTINO
Suffix:
Gender:F
Credentials:LAC, MAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:130 CHAUNCEY CIR
Mailing Address - Street 2:
Mailing Address - City:CHAPEL HILL
Mailing Address - State:NC
Mailing Address - Zip Code:27516-4257
Mailing Address - Country:US
Mailing Address - Phone:919-274-7801
Mailing Address - Fax:919-650-1977
Practice Address - Street 1:160 IOWA LN STE 102
Practice Address - Street 2:
Practice Address - City:CARY
Practice Address - State:NC
Practice Address - Zip Code:27511-4497
Practice Address - Country:US
Practice Address - Phone:919-274-7801
Practice Address - Fax:919-650-1977
Is Sole Proprietor?:Yes
Enumeration Date:2009-07-23
Last Update Date:2022-02-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC692171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist