JACQUELINE CIVIDANES

BLOOMFIELD, NJ
NPI1922408293
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy2255A2300X Specialist/Technologist Athletic Trainer
(Licence: NJ  25MT00192200)
Enumeration Date2014-08-24
Last Update Date2014-08-24
Business Address
JACQUELINE CIVIDANES ATC
467 FRANKLIN ST ATHLETICS DEPARTMENT
BLOOMFIELD, NJ 07003-3425
Phone number: 973-748-9000
Mailing Address
JACQUELINE CIVIDANES ATC
467 FRANKLIN ST ATHLETICS DEPARTMENT
BLOOMFIELD, NJ 07003-3425
Phone number: 973-748-9000
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