Individual
MARK LUIS LIM HERNANDEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
414 HACKENSACK AVE APT 2418, HACKENSACK, NJ 07601-6339
(641) 525-0706
Mailing address
414 HACKENSACK AVE APT 2418, HACKENSACK, NJ 07601-6339
(641) 525-0706
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
01/17/2021
Last updated
01/17/2021
About Stedi
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