JOSAFAT LARRETA LOPEZ

SAN JOSE, CA
NPI1679455463
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225400000X Rehabilitation Practitioner
Enumeration Date2025-07-23
Last Update Date2025-07-23
Business Address
JOSAFAT LARRETA LOPEZ
232 E GISH RD
SAN JOSE, CA 95112-4706
Phone number: 408-876-4284
Mailing Address
JOSAFAT LARRETA LOPEZ
232 E GISH RD
SAN JOSE, CA 95112-4706
Phone number: 408-876-4284