Individual
NOELLE DEBORAH SOLLIVAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
STUDENT
Contact information
Practice address
1000 MORRIS AVE, UNION, NJ 07083-7133
(908) 337-8302
Mailing address
1000 MORRIS AVE, UNION, NJ 07083-7133
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
207122
NJ
Other
Enumeration date
12/04/2018
Last updated
12/04/2018
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