JEROME CARLOS MALIMBAN

HOLLOMAN AFB, NM
NPI1174049472
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy225100000X Physical Therapist
(Licence: CA  293742)
Enumeration Date2017-08-17
Last Update Date2023-10-02
Business Address
JEROME CARLOS MALIMBAN PT, DPT
280 1ST ST
HOLLOMAN AFB, NM 88330-8273
Phone number: 575-572-0899
Mailing Address
JEROME CARLOS MALIMBAN PT, DPT
280 1ST ST
HOLLOMAN AFB, NM 88330-8273
Phone number: 575-572-0899