MR. Juan Luis Calderon, STL, LMT

NPI #1245724145 in West New York, New Jersey

Provider Information

NPI Number
1245724145
Entity Type
Individual
Name
MR. Juan Luis Calderon, STL, LMT
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Religious Nonmedical Practitioner
Credential
STL, LMT
Enumeration Date
Jun 14, 2018
Last Updated
Jun 14, 2018

Practice Location

Address
6002 WASHINGTON ST
ZIP Code
07093-1420
Phone
(201) 401-4204

Specialties & Taxonomy Codes

Specialty
Religious Nonmedical Practitioner

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