JOSHUA KYLE TINDAAN BANIWAS

ANAHEIM, CA
NPI1255029955
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225200000X Physical Therapy Assistant
(Licence: CA  51374)
Enumeration Date2023-05-01
Last Update Date2023-05-01
Business Address
JOSHUA KYLE TINDAAN BANIWAS
1440 S EUCLID ST
ANAHEIM, CA 92802-2156
Phone number: 714-535-7264
Mailing Address
JOSHUA KYLE TINDAAN BANIWAS
3832 PERIDOT CT
PERRIS, CA 92570-7287
Phone number: 180-527-6806
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