Individual
DIANNE B PULIDO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
565 NUGENTOWN RD, TUCKERTON, NJ 08087-3909
(609) 296-3106
Mailing address
8 COOPER DR # A, SOMERS POINT, NJ 08244-1608
(609) 204-6260
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
25MT00121300
NJ
Other
Enumeration date
07/03/2007
Last updated
12/05/2007
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