ARIEL LATONIO FUNDANO

SAN ANTONIO, TX
NPI1780205914
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy225200000X Physical Therapy Assistant
(Licence: TX  2119667)
Enumeration Date2020-04-28
Last Update Date2020-04-28
Business Address
Mr. ARIEL LATONIO FUNDANO
7710 W INTERSTATE 10
SAN ANTONIO, TX 78230-4711
Phone number: 210-377-3355
Mailing Address
Mr. ARIEL LATONIO FUNDANO
4706 EMDEN HOLW
SAN ANTONIO, TX 78247-5837
Phone number: 708-898-8378