Individual
JUAN CAMILO VICTORIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
63 GROVE ST, PASSAIC, NJ 07055-5001
(908) 884-6740
Mailing address
374 BOULEVARD, KENILWORTH, NJ 07033-1530
(908) 884-6740
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
4675
NJ
Other
Enumeration date
06/23/2025
Last updated
06/23/2025
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