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Individual

MISS JOANNE MOLOCHNICK

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
A.T.C.R.L.

Contact information

Practice address
1100 BROOKS BLVD, MANVILLE, NJ 08835-1542
(908) 231-8505
Mailing address
82 AYLIN ST, METUCHEN, NJ 08840-1226
(732) 548-0231

Taxonomy

Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
25MT000234000
NJ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
22
A.T.C.R
NJ
Enumeration date
08/30/2006
Last updated
07/08/2007
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