MARIANO JERVOSO MEMPIN

SAN JOSE, CA
NPI1467219329
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225200000X Physical Therapy Assistant
(Licence: CA  52735)
Enumeration Date2024-03-06
Last Update Date2024-03-06
Business Address
Mr. MARIANO JERVOSO MEMPIN PTA
1604 BLOSSOM HILL RD STE 10
SAN JOSE, CA 95124-6350
Phone number: 408-528-8833
Mailing Address
Mr. MARIANO JERVOSO MEMPIN PTA
37171 SYCAMORE ST APT 625
NEWARK, CA 94560-3975
Phone number: 707-980-4219
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