LANCE MICHAEL SUPNET

SAN JOSE, CA
NPI1093558173
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225100000X Physical Therapist
Enumeration Date2024-06-17
Last Update Date2024-06-17
Business Address
LANCE MICHAEL SUPNET DPT
4205 SAN FELIPE RD STE 100
SAN JOSE, CA 95135-1546
Phone number: 408-238-1552
Mailing Address
LANCE MICHAEL SUPNET DPT
3099 WHITESAND DR
SAN JOSE, CA 95148-3056
Phone number: 408-513-5820