DMITRIY PODLOG

TRENTON, NJ
NPI1023692704
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date2021-05-10
Last Update Date2021-05-10
Business Address
DMITRIY PODLOG
750 BRUNSWICK AVE
TRENTON, NJ 08638-4143
Phone number: 609-394-6031
Mailing Address
DMITRIY PODLOG
750 BRUNSWICK AVE
TRENTON, NJ 08638-4143
Phone number: 609-394-6031