JESUS-FERNANDO SILVA TABAREZ

MODESTO, CA
NPI1861268070
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225200000X Physical Therapy Assistant
(Licence: CA  AT11057)
Enumeration Date2023-11-29
Last Update Date2023-11-29
Business Address
JESUS-FERNANDO SILVA TABAREZ PTA
1700 COFFEE RD
MODESTO, CA 95355-2803
Phone number: 209-526-4500
Mailing Address
JESUS-FERNANDO SILVA TABAREZ PTA
1700 COFFEE RD
MODESTO, CA 95355-2803
Phone number: 209-526-4500