Jacqueline Cividanes, ATC
NPI #1922408293 in Bloomfield, New Jersey
Provider Information
- NPI Number
- 1922408293
- Entity Type
- Individual
- Name
- Jacqueline Cividanes, ATC
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Specialist/Technologist - Athletic Trainer
- Credential
- ATC
- Enumeration Date
- Aug 24, 2014
- Last Updated
- Aug 24, 2014
Practice Location
- Address
- 467 FRANKLIN ST
- Address 2
- ATHLETICS DEPARTMENT
- City
- Bloomfield
- State
- New Jersey
- ZIP Code
- 07003-3425
- Phone
- (973) 748-9000
Specialties & Taxonomy Codes
| Specialty |
|---|
| Specialist/Technologist - Athletic Trainer — Athletic Trainer |
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