Edmon Jonh Moreno Hilario

NPI #1528373131 in Humboldt, Tennessee

Provider Information

NPI Number: 1528373131
Entity Type: Individual
Name: Edmon Jonh Moreno Hilario
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Physical Therapist
Enumeration Date: Aug 9, 2010
Last Updated: Aug 9, 2010

Practice Location

Address: 2400 MITCHELL STREET
City: Humboldt
State: Tennessee
ZIP Code: 38343
Phone: (731) 784-5183

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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