KINT JURIS ROLAND NAKILA BACONG

RICHMOND HILL, NY
NPI1700611019
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225100000X Physical Therapist
(Licence: NY  P128185)
Enumeration Date2024-09-05
Last Update Date2024-09-05
Business Address
KINT JURIS ROLAND NAKILA BACONG
107-02 R JAMAICA AVE
RICHMOND HILL, NY 11418
Phone number: 347-829-3890
Mailing Address
KINT JURIS ROLAND NAKILA BACONG
107-02 R JAMAICA AVE
RICHMOND HILL, NY 11418
Phone number: 347-829-3890
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