Individual
CHAD MINEO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
STUDENT
Contact information
Practice address
17 CHURCH ST APT 15, NUTLEY, NJ 07110-1675
(845) 709-2546
Mailing address
17 CHURCH ST APT 15, NUTLEY, NJ 07110-1675
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
—
—
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
02/15/2019
Last updated
02/15/2019
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