JESUS JOHAN COLLAZO

BAYAMON, PR
NPI1932855665
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy225200000X Physical Therapy Assistant
(Licence: PR  1875)
Enumeration Date2022-02-22
Last Update Date2022-02-22
Business Address
JESUS JOHAN COLLAZO
CALLE SANTA CRUZ,BUILDING#73 FLOOR#2 OFFICE 208
BAYAMON, PR 00961
Phone number: 787-995-7884
Mailing Address
JESUS JOHAN COLLAZO
HC 4 BOX 7283
YABUCOA, PR 00767-9521
Phone number: 787-365-7727