JESUS ALBERTO MENDOZA

BLOOMFIELD, NJ
NPI1639768203
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: NJ  M25164016101012)
Enumeration Date2021-01-18
Last Update Date2021-01-18
Business Address
JESUS ALBERTO MENDOZA
141 BROUGHTON AVE
BLOOMFIELD, NJ 07003-3930
Phone number: 862-333-8800
Mailing Address
JESUS ALBERTO MENDOZA
141 BROUGHTON AVE
BLOOMFIELD, NJ 07003-3930
Phone number: 862-333-8800