Individual
JORDEN ARIELLE NOLAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
34 MOUNTAIN BLVD, WARREN, NJ 07059-2640
(908) 222-0515
Mailing address
39 NORTHSIDE AVE, SOUTH RIVER, NJ 08882-1653
(732) 613-1031
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
25MT00196500
NJ
Other
Enumeration date
03/09/2015
Last updated
03/09/2015
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