MUKUNDA RICO

GAINESVILLE, FL
NPI1619529724
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225200000X Physical Therapy Assistant
(Licence: FL  PTA29211)
Enumeration Date2019-07-10
Last Update Date2019-07-10
Business Address
MUKUNDA RICO PTA
4820 NEWBERRY RD
GAINESVILLE, FL 32607-2249
Phone number: 352-373-2116
Mailing Address
MUKUNDA RICO PTA
4820 NEWBERRY RD
GAINESVILLE, FL 32607-2249
Phone number: 352-373-2116
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