PERPEMELO BALASTA

THERMAL, CA
NPI1548580624
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207Q00000X Family Medicine
(Licence: CA  13544)
Enumeration Date2010-06-11
Last Update Date2021-04-07
Business Address
PERPEMELO BALASTA DO
55497 VAN BUREN ST
THERMAL, CA 92274-9412
Phone number: 760-399-4526
Mailing Address
PERPEMELO BALASTA DO
4480 UTICA RIDGE RD SUITE 160
BETTENDORF, IA 52722
Phone number: 563-742-4850
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