Jacqueline Cividanes, ATC

NPI 1922408293 · on the registry since 2014 · sole proprietor

Practice

Address: 467 Franklin St
Athletics Department
Bloomfield, NJ 07003
Phone: (973) 748-9000
Organisation at this address: Bloomfield College
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 3

Registry record

Primary taxonomy: Athletic Trainer
2255A2300X
Licence states on file: NJ
From the registry's licence fields, which are often incomplete.
Sex: Female
Record last updated: 2014-08-24

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in New Jersey