NPI | 1265107700 |
---|---|
Other Name | FERNANDO EDUARDO ESPINOSA JENKINS |
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 225100000X Physical Therapist (Licence: MN 12344) |
Additional Taxonomies | 225100000X Physical Therapist (Licence: FL 35896) |
Enumeration Date | 2021-08-16 |
Last Update Date | 2021-08-16 |