FREDERIC JIMENEZ

BLOOMFIELD, NJ
NPI1912556564
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: NJ  25MT00159700)
Enumeration Date2019-09-06
Last Update Date2019-09-06
Business Address
FREDERIC JIMENEZ ATC, CSCS, USAW
467 FRANKLIN ST
BLOOMFIELD, NJ 07003-3494
Phone number: 973-748-9000
Mailing Address
FREDERIC JIMENEZ ATC, CSCS, USAW
70B FREMONT ST APT 15B
BLOOMFIELD, NJ 07003-3464
Phone number: 201-303-1214
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