NINO OTACAN CONDE

LODI, CA
NPI1174239172
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225100000X Physical Therapist
(Licence: CA  303521)
Enumeration Date2023-01-24
Last Update Date2023-01-24
Business Address
NINO OTACAN CONDE
631 S HAM LN
LODI, CA 95242-3532
Phone number: 209-368-7433
Mailing Address
NINO OTACAN CONDE
1117 KLEMEYER CIR
STOCKTON, CA 95206-5212
Phone number: