Individual
KASSANDRA NAHOMY GARCIA-GIRON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
128 OGG AVE, SOMERDALE, NJ 08083-2824
(856) 383-4408
Mailing address
128 OGG AVE, SOMERDALE, NJ 08083-2824
(856) 383-4408
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
G05544267552012
DRIVERS LICENSE
NJ
Enumeration date
06/23/2022
Last updated
06/23/2022
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