Individual
MR. JUAN CARLOS OLIVEROS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
49 PROSPECT ST # 1R, JERSEY CITY, NJ 07307-1802
(347) 737-8048
Mailing address
49 PROSPECT ST # 1R, JERSEY CITY, NJ 07307-1802
(347) 737-8048
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
246ZS0410X
Surgical Technologist
—
—
Other
Enumeration date
11/16/2017
Last updated
11/16/2017
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