WALTER TABLANTE DE JESUS

FONTANA, CA
NPI1023223443
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy225100000X Physical Therapist
(Licence: CA  PT24337)
Enumeration Date2007-05-10
Last Update Date2007-07-08
Business Address
-- WALTER TABLANTE DE JESUS RPT
13578 HATCHER PL
FONTANA, CA 92336-2945
Phone number: 909-641-1096
Mailing Address
-- WALTER TABLANTE DE JESUS RPT
13578 HATCHER PL
FONTANA, CA 92336-2945
Phone number: 909-641-1096