Individual
YANDERI JIMENEZ RESTITUYO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ATC, LAT
Contact information
Practice address
285 MADISON AVE, MADISON, NJ 07940-1099
(973) 443-8500
Mailing address
1901 ELIZABETH AVE UNIT 4161, RAHWAY, NJ 07065-4591
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
25MT00321800
NJ
Other
Enumeration date
05/07/2024
Last updated
05/07/2024
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