Individual
JESSICA GUADALUPE ESCOBAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
65 ONEIDA AVE, DUMONT, NJ 07628-2111
(201) 562-7203
Mailing address
65 ONEIDA AVE, DUMONT, NJ 07628-2111
(201) 562-7203
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
01/19/2021
Last updated
01/19/2021
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