JERRY BALLESTEROS BULATAO

SANTA CLARITA, CA
NPI1013130954
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225400000X Rehabilitation Practitioner
Enumeration Date2007-04-10
Last Update Date2007-07-08
Business Address
-- JERRY BALLESTEROS BULATAO
28406 SILVERKING TRL
SANTA CLARITA, CA 91390-5245
Phone number: 661-263-8004
Mailing Address
-- JERRY BALLESTEROS BULATAO
28406 SILVERKING TRL
SANTA CLARITA, CA 91390-5245
Phone number: 661-263-8004
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