JONATHAN CARLOS

SAN DIEGO, CA
NPI1306248588
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy225100000X Physical Therapist
(Licence: CA  36143)
Enumeration Date2014-09-19
Last Update Date2014-09-19
Business Address
JONATHAN CARLOS
3760 CONVOY ST STE 204
SAN DIEGO, CA 92111-3744
Phone number: 858-514-0375
Mailing Address
JONATHAN CARLOS
463 BALLANTYNE ST UNIT 35
EL CAJON, CA 92020-3755
Phone number: 269-591-5227