MOISES EMMANUEL AZCONA

BOUND BROOK, NJ
NPI1831901578
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: NJ  25mt00303300)
Enumeration Date2025-01-21
Last Update Date2025-01-21
Business Address
MOISES EMMANUEL AZCONA
111 W UNION AVE
BOUND BROOK, NJ 08805-1396
Phone number: 908-986-8310
Mailing Address
MOISES EMMANUEL AZCONA
1524 MAPLE AVE
HILLSIDE, NJ 07205-1511
Phone number: 908-986-8310