Individual
TRISTAN JUGAO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2 GRACEDALE AVE, NAZARETH, PA 18064-8785
(610) 746-1908
(610) 746-1992
Mailing address
127 E ELM ST, EMMAUS, PA 18049-2909
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
TE009429
PA
Other
Enumeration date
07/17/2014
Last updated
07/17/2014
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