Individual
AJA BRIANNA CORCHADO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
104 BOZARTH AVE, GLENDORA, NJ 08029-1241
(856) 448-0967
Mailing address
104 BOZARTH AVE, GLENDORA, NJ 08029-1241
(856) 448-0967
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
06/08/2015
Last updated
06/09/2015
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