Provider Demographics
NPI:1871229344
Name:GILLEN, ALEXANDRE TOLENTINO (ND)
Entity type:Individual
Prefix:DR
First Name:ALEXANDRE
Middle Name:TOLENTINO
Last Name:GILLEN
Suffix:
Gender:M
Credentials:ND
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11889 SLATE FALLS WAY
Mailing Address - Street 2:
Mailing Address - City:RANCHO CORDOVA
Mailing Address - State:CA
Mailing Address - Zip Code:95742-8017
Mailing Address - Country:US
Mailing Address - Phone:916-838-7820
Mailing Address - Fax:
Practice Address - Street 1:11889 SLATE FALLS WAY
Practice Address - Street 2:
Practice Address - City:RANCHO CORDOVA
Practice Address - State:CA
Practice Address - Zip Code:95742-8017
Practice Address - Country:US
Practice Address - Phone:916-353-2879
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-07-27
Last Update Date:2022-07-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175F00000XOther Service ProvidersNaturopath