EDUARDO JOSE VIQUEZ MORA

WEST ORANGE, NJ
NPI1265177836
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy224Z00000X Occupational Therapy Assistant
(Licence: NJ  46TA09226400)
Enumeration Date2022-04-28
Last Update Date2022-06-18
Business Address
EDUARDO JOSE VIQUEZ MORA COTA/L
155 PLEASANT VALLEY WAY
WEST ORANGE, NJ 07052-2906
Phone number: 973-731-5100
Mailing Address
EDUARDO JOSE VIQUEZ MORA COTA/L
1155 PLEASANT VALLEY WAY
WEST ORANGE, NJ 07052-1424
Phone number: 973-731-5100
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