Individual
JESUS ANTONIO PRADO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
23 REED BLVD, MILL VALLEY, CA 94941-2334
(415) 888-2289
Mailing address
2830 PINE ST, NAPA, CA 94558-5829
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
300647
CA
Other
Enumeration date
08/23/2021
Last updated
08/23/2021
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