PEDRO G BOLANOS

WESTON, FL
NPI1932713047
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy363A00000X Physician Assistant
(Licence: PR  664-P.A.)
Enumeration Date2020-09-04
Last Update Date2020-09-14
Business Address
PEDRO G BOLANOS
460 ALEXANDRA CIR
WESTON, FL 33326-3308
Phone number: 201-747-3830
Mailing Address
PEDRO G BOLANOS
460 ALEXANDRA CIR
WESTON, FL 33326-3308
Phone number: 201-747-3830