Individual
JAN NICHOLAS SANTOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
35 PHILLIP DR, ROCKAWAY, NJ 07866-3747
(201) 841-5595
Mailing address
35 PHILLIP DR, ROCKAWAY, NJ 07866-3747
(201) 841-5595
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
02/01/2019
Last updated
02/01/2019
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