Individual
JON CHRSITOPHER SANA GASPAR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1517 KNICKERBOCKER DR, STOCKTON, CA 95210-3119
(209) 957-4539
Mailing address
10429 CHERISE WAY, STOCKTON, CA 95209-4404
(765) 409-8878
Taxonomy
Speciality
Code
Description
License number
State
2251G0304X
Geriatric Physical Therapist
Primary
38555
CA
Other
Enumeration date
08/29/2018
Last updated
08/29/2018
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