Individual
JAZIEL JOEL OLMEDO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2110 LOMAS DEL SUR STE 114, LAREDO, TX 78046-5751
(956) 712-9111
Mailing address
2110 LOMAS DEL SUR STE 114, LAREDO, TX 78046-5751
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2171406
TX
Other
Enumeration date
07/10/2023
Last updated
07/10/2023
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