Individual
JAN ROLAND CONTRERAS RENOLAYAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
225 HOSPITAL ST, PLAINS, GA 31780-5544
(229) 824-7796
Mailing address
2337 SPRINGDALE CT APT I5, ALBANY, GA 31707-1625
(706) 847-2853
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT012646
GA
Other
Enumeration date
08/20/2021
Last updated
08/20/2021
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