THEODORE NELLIS SLAHETKA

BARNEGAT LIGHT, NJ
NPI1538706734
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy2255A2300X Specialist/Technologist, Athletic Trainer
Enumeration Date2019-12-06
Last Update Date2019-12-06
Business Address
THEODORE NELLIS SLAHETKA
18 W 26TH ST
BARNEGAT LIGHT, NJ 08006-1424
Phone number: 609-651-1186
Mailing Address
THEODORE NELLIS SLAHETKA
18 W 26TH ST
BARNEGAT LIGHT, NJ 08006-1424
Phone number: 609-651-1186
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