KYLE FARDANESH

ELK GROVE, CA
NPI1043762305
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225200000X Physical Therapy Assistant
Enumeration Date2016-11-02
Last Update Date2016-11-02
Business Address
-- KYLE FARDANESH
9105 FOUR SEASONS DR
ELK GROVE, CA 95624-1288
Phone number: 916-792-1889
Mailing Address
-- KYLE FARDANESH
9105 FOUR SEASONS DR
ELK GROVE, CA 95624-1288
Phone number: