Individual
KLARISSA DECKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
207 SUNSET AVE, HIGHTSTOWN, NJ 08520-3503
(407) 405-6051
Mailing address
207 SUNSET AVE, HIGHTSTOWN, NJ 08520-3503
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
D260513046690
FL
Other
Enumeration date
09/15/2025
Last updated
09/15/2025
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