Individual
JOSHUA JIMENEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
257 MAIN ST, MILLBURN, NJ 07041-1167
(862) 900-0013
Mailing address
257 MAIN ST, MILLBURN, NJ 07041-1167
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
004074
NY
2255A2300X
Athletic Trainer
Primary
25MT00277400
NJ
Other
Enumeration date
12/17/2018
Last updated
03/12/2020
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