NPI 1245724145

Juan Luis Calderon, STLLMT

Practitioner Religious Nonmedical Practitioner West New York, NJ

Practice location

Address: 6002 Washington St, West New York, NJ 07093-1420
Phone: (201) 401-4204
Mailing address: PO Box 443, West New York, NJ 07093-0443

Registered specialties

Religious Nonmedical Practitioner Primary

Nursing Service Related Providers Taxonomy 374K00000X Licence 18KT01274200 (NJ)

Other Religious Nonmedical Practitioner providers in New Jersey →

Registry record

NPI: 1245724145
Entity type: Individual
Sex (as registered): Male
NPI issued: 14 Jun 2018
Record last updated: 14 Jun 2018

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.