IVAN HENRIQUEZ

SECAUCUS, NJ
NPI1851001911
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: NJ  2000052661)
Enumeration Date2022-11-30
Last Update Date2022-12-01
Business Address
Mr. IVAN HENRIQUEZ ATC
55 MEADOWLANDS PKWY
SECAUCUS, NJ 07094-2977
Phone number: 201-392-3424
Mailing Address
Mr. IVAN HENRIQUEZ ATC
8515 BERGENLINE AVE APT 1A
NORTH BERGEN, NJ 07047-5162
Phone number: 201-654-1513
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