Individual
XAVIER MUNDEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
380 MOUNT PROSPECT AVE APT 8C, NEWARK, NJ 07104-2141
(757) 582-4763
Mailing address
380 MOUNT PROSPECT AVE APT 8C, NEWARK, NJ 07104-2141
(757) 582-4763
Taxonomy
Speciality
Code
Description
License number
State
224Y00000X
Clinical Exercise Physiologist
Primary
—
—
225800000X
Recreation Therapist
—
—
Other
Enumeration date
12/10/2015
Last updated
12/10/2015
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