MBONG JERRY NGWESE

PHOENIX, AZ
NPI1447816590
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy2251S0007X Physical Therapist Sports
Enumeration Date2019-05-14
Last Update Date2019-05-14
Business Address
MBONG JERRY NGWESE
2546 WEST BLOCH RD
PHOENIX, AZ 85041
Phone number: 480-233-9241
Mailing Address
MBONG JERRY NGWESE
2546 WEST BLOCH RD
PHOENIX, AZ 85041
Phone number: 480-233-9241