Individual
JAN BRUINS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1 SCARLET KNIGHT WAY, PISCATAWAY, NJ 08854-8069
(609) 284-7782
Mailing address
161 N 13TH AVE, MANVILLE, NJ 08835-1169
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
25MT00223100
NJ
Other
Enumeration date
01/05/2023
Last updated
01/05/2023
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