Provider Demographics
NPI:1245907567
Name:TOLENO, ARIANNE GUAN (DACM, L AC)
Entity type:Individual
Prefix:DR
First Name:ARIANNE
Middle Name:GUAN
Last Name:TOLENO
Suffix:
Gender:F
Credentials:DACM, L AC
Other - Prefix:
Other - First Name:LING
Other - Middle Name:
Other - Last Name:KUAN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:3001 WALNUT GROVE RD APT 4
Mailing Address - Street 2:
Mailing Address - City:MEMPHIS
Mailing Address - State:TN
Mailing Address - Zip Code:38111-3566
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:515 N HIGHLAND ST
Practice Address - Street 2:
Practice Address - City:MEMPHIS
Practice Address - State:TN
Practice Address - Zip Code:38122-4572
Practice Address - Country:US
Practice Address - Phone:901-323-9986
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-08-25
Last Update Date:2021-08-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNACU0000000366405300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes405300000XOther Service ProvidersPrevention Professional
Provider Identifiers
StateIdentifier IDID TypeIssuer
TNACU0000000366OtherSTATE ACUPUNCTURE LICENSE NUMBER