Individual
MR. ERIC MATALUBOS RANESES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
251 EISENHOWER DR APT 394, BILOXI, MS 39531-3614
(228) 313-4724
Mailing address
251 EISENHOWER DR APT 394, BILOXI, MS 39531-3614
(228) 313-4724
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
027950
NY
Other
Enumeration date
08/27/2006
Last updated
07/08/2007
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