JUAN BERUMEN

GOODYEAR, AZ
NPI1285086405
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225200000X Physical Therapy Assistant
(Licence: AZ  12196A)
Enumeration Date2016-07-12
Last Update Date2016-07-12
Business Address
-- JUAN BERUMEN
1388 S 159TH AVE UNITED STATES
GOODYEAR, AZ 85338-3313
Phone number: 623-826-6209
Mailing Address
-- JUAN BERUMEN
1388 S 159TH AVE
GOODYEAR, AZ 85338-3313
Phone number: