EDWIN RAFAEL FERNANDEZ GRULLON

BAYONNE, NJ
NPI1912469321
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy224Z00000X Occupational Therapy Assistant
(Licence: NJ  46TA09163500)
Enumeration Date2019-04-03
Last Update Date2019-04-04
Business Address
EDWIN RAFAEL FERNANDEZ GRULLON
47 BAYSIDE DR
BAYONNE, NJ 07002-1278
Phone number: 239-298-6665
Mailing Address
EDWIN RAFAEL FERNANDEZ GRULLON
47 BAYSIDE DR
BAYONNE, NJ 07002-1278
Phone number: 239-298-6665
Similar providers in Bayonne, NJ
MARIAM IBRAHIM
PAOLO J DE LEON