CRISENCIANO ANGELO PANES CANGO

BROWNWOOD, TX
NPI1467837971
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy225200000X Physical Therapy Assistant
(Licence: TX  2110137)
Enumeration Date2015-07-26
Last Update Date2015-07-26
Business Address
Mr. CRISENCIANO ANGELO PANES CANGO
1801 SLAYDEN ST APT 7
BROWNWOOD, TX 76801-5522
Phone number: 325-203-0351
Mailing Address
Mr. CRISENCIANO ANGELO PANES CANGO
5900 W SAMPLE RD APT 304
CORAL SPRINGS, FL 33067-3268
Phone number: 325-203-0351