Individual
MR. JONATHAN FERNANDEZ BALLESTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
3807 W 187TH ST, TORRANCE, CA 90504-5601
(310) 291-8943
Mailing address
3807 W 187TH ST, TORRANCE, CA 90504-5601
(310) 291-8943
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
—
—
Other
Enumeration date
01/31/2015
Last updated
01/31/2015
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