Individual
MR. DANIEL JARVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
172 NASSAU ST, APT. 5, PRINCETON, NJ 08542-7002
(203) 521-6611
Mailing address
172 NASSAU ST, APT. 5, PRINCETON, NJ 08542-7002
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
25MT00143100
NJ
Other
Enumeration date
10/27/2011
Last updated
10/27/2011
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