EDMON JONH MORENO HILARIO

HUMBOLDT, TN
NPI1528373131
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy225100000X Physical Therapist
(Licence: TN  4301)
Enumeration Date2010-08-09
Last Update Date2010-08-09
Business Address
-- EDMON JONH MORENO HILARIO
2400 MITCHELL STREET
HUMBOLDT, TN 38343
Phone number: 731-784-5183
Mailing Address
-- EDMON JONH MORENO HILARIO
2400 MITCHELL STREET
HUMBOLDT, TN 38343
Phone number: 731-784-5183