DOMINADOR FC HERNO PAPA

DAYTON, OH
NPI1861513053
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225100000X Physical Therapist
(Licence: OH  011732)
Enumeration Date2007-04-03
Last Update Date2007-07-08
Business Address
MR. DOMINADOR FC HERNO PAPA P.T.
407 CLIFFANNE CT
DAYTON, OH 45415-1357
Phone number: 937-278-0723
Mailing Address
MR. DOMINADOR FC HERNO PAPA P.T.
407 CLIFFANNE CT
DAYTON, OH 45415-1357
Phone number: