Individual
STEPHANIE YBANEZ-RODRIGUEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
32 MARTIN AVE, CLIFTON, NJ 07012-1233
(862) 823-9116
Mailing address
32 MARTIN AVE, CLIFTON, NJ 07012-1233
(862) 823-9116
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
01/12/2021
Last updated
01/12/2021
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