FERNANDO SARMIENTO CUSTODIO

CARROLLTON, GA
NPI1588443022
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225200000X Physical Therapy Assistant
(Licence: VA  2306604484)
Enumeration Date2023-09-25
Last Update Date2023-09-25
Business Address
FERNANDO SARMIENTO CUSTODIO
3455 OAK GROVE CHURCH RD
CARROLLTON, GA 30117
Phone number: 770-834-1737
Mailing Address
FERNANDO SARMIENTO CUSTODIO
1235 NEW LAND DR
VIRGINIA BEACH, VA 23453-3120
Phone number: 757-574-2265
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