Individual
MR. BASHIR MURICE LAUDERDALE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
34 CANDLEWOOD CT, COLONIA, NJ 07067-1503
(732) 895-5965
Mailing address
34 CANDLEWOOD CT, COLONIA, NJ 07067-1503
(732) 895-5965
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
02/10/2022
Last updated
02/10/2022
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