Individual
MR. LUIS DEJESUS JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MA, ATC
Contact information
Practice address
1000 EAST WASHINGTON ST., MEDINA, OH 44256
(330) 725-1000
(330) 721-4913
Mailing address
345 SPRINGBROOK DR., #202, MEDINA, OH 44256
(724) 734-1331
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
05/29/2009
Last updated
05/29/2009
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