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Individual

JOHNATHAN MENDEZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
1985 NJ-34, BUILDING A, WALL TOWNSHIP, NJ 07719
(732) 365-0101
Mailing address
2607 SCHURZ AVE, BRONX, NY 10465-3143

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
38MC00769800
NJ

Other

Enumeration date
04/28/2020
Last updated
04/28/2020
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