JESUS OCTAVIO AMADOR

MOUNT LAUREL, NJ
NPI1457581704
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1710I1003X Military Health Care Provider, Independent Duty Medical Technicians
Enumeration Date2009-07-21
Last Update Date2009-07-21
Business Address
-- JESUS OCTAVIO AMADOR IDMT
2305 SAXONY DR
MOUNT LAUREL, NJ 08054-6806
Phone number: 310-856-9968
Mailing Address
-- JESUS OCTAVIO AMADOR IDMT
2305 SAXONY DR
MOUNT LAUREL, NJ 08054-6806
Phone number: 310-856-9968