Individual
LEO ENRICO RODRIGUEZ RAMIREZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
2189 MARSHALL RD, VACAVILLE, CA 95687-7288
(510) 375-1513
Mailing address
2189 MARSHALL RD, VACAVILLE, CA 95687-7288
(510) 375-1513
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
AT10741
CA
Other
Enumeration date
02/27/2015
Last updated
02/27/2015
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