KHAIL EDSEL RONQUILLO VELICARIA

ELLENWOOD, GA
NPI1780460279
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225100000X Physical Therapist
Additional Taxonomies225100000X Physical Therapist
(Licence: CT  012282)
Enumeration Date2023-08-31
Last Update Date2023-09-27
Business Address
KHAIL EDSEL RONQUILLO VELICARIA
2838 E ATLANTA RD STE 2
ELLENWOOD, GA 30294-2780
Phone number: 678-782-3609
Mailing Address
KHAIL EDSEL RONQUILLO VELICARIA
1200 CORPORATE DR STE 400
HOOVER, AL 35242-5424
Phone number:
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