TIM FERNANDES

MODESTO, CA
NPI1487848966
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225100000X Physical Therapist
(Licence: CA  PT33456)
Enumeration Date2007-08-28
Last Update Date2007-08-28
Business Address
Mr. TIM FERNANDES DPT
4318 SPYRES WAY
MODESTO, CA 95356-9259
Phone number: 209-576-0710
Mailing Address
Mr. TIM FERNANDES DPT
4318 SPYRES WAY
MODESTO, CA 95356-9259
Phone number: 209-576-0710
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