Jessica Guadalupe Escobar
Specialist/Technologist, Athletic Trainer in Dumont, NJ. Individual provider (NPI-1).
NPI number1275123770
StatusActive
Last updated in NPPESJan 19, 2021
Details
- NPI
- 1275123770
- Entity type
- Individual (NPI-1)
- Name
- Jessica Guadalupe Escobar
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jan 19, 2021
- Certification date
- Jan 19, 2021
- Last updated
- Jan 19, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 2255A2300X | Specialist/Technologist, Athletic Trainer | – | – | Yes |
| 390200000X | Student in an Organized Health Care Education/Training Program | – | – |
Practice location
65 Oneida AveDumont, NJ 07628-2111
Phone 201-562-7203
Mailing address
65 Oneida AveDumont, NJ 07628-2111
Phone 201-562-7203
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