DYLAN CHURCH

SPOTSWOOD, NJ
NPI1902322167
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: NJ  25MT00242600)
Enumeration Date2017-08-19
Last Update Date2017-08-19
Business Address
DYLAN CHURCH LAT,ATC
13 GOLDSMITH DR
SPOTSWOOD, NJ 08884-1032
Phone number: 908-239-9392
Mailing Address
DYLAN CHURCH LAT,ATC
13 GOLDSMITH DR
SPOTSWOOD, NJ 08884-1032
Phone number: