Individual
JESUS-FERNANDO SILVA TABAREZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
1700 COFFEE RD, MODESTO, CA 95355-2803
(209) 526-4500
(209) 572-7278
Mailing address
1700 COFFEE RD, MODESTO, CA 95355-2803
(209) 526-4500
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
AT11057
CA
Other
Enumeration date
11/29/2023
Last updated
11/29/2023
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