Individual
MR. KRIS KARLO JUMAO-AS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RPT
Contact information
Practice address
333 W MISHAWAKA RD, ELKHART, IN 46517-1921
(574) 293-1550
(574) 522-6359
Mailing address
333 W MISHAWAKA RD, ELKHART, IN 46517-1921
(574) 293-1550
(574) 522-6359
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
05008677A
IN
Other
Enumeration date
07/18/2008
Last updated
07/18/2008
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