JETHRO PAYNE DE VEGA LA ROSA

FREMONT, CA
NPI1720422983
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225200000X Physical Therapy Assistant
Enumeration Date2013-04-18
Last Update Date2013-04-18
Business Address
-- JETHRO PAYNE DE VEGA LA ROSA
39210 STATE ST SUITE 202
FREMONT, CA 94538-1456
Phone number: 510-790-9480
Mailing Address
-- JETHRO PAYNE DE VEGA LA ROSA
39210 STATE ST SUITE 202
FREMONT, CA 94538-1456
Phone number:
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