Individual provider · Type 1 NPI
Juan Luis Calderon, STL, LMT
Religious Nonmedical Practitioner · West New York, NJ
NPI number
1245724145
Active
Practice location
6002 Washington St
West New York, NJ 07093-1420
Mailing address
PO Box 443
West New York, NJ 07093-0443
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Religious Nonmedical Practitioner Primary | 374K00000X | 18KT01274200 (NJ) |
Religious Nonmedical Practitioner: A religious nonmedical practitioner offers spiritually-based care. Services may be rendered in an office, home, or care facility or by phone, email, or written correspondence.
About NPI 1245724145
Juan Luis Calderon, STL, LMT's National Provider Identifier is 1245724145, issued on Jun 14, 2018. The primary taxonomy on file is Religious Nonmedical Practitioner (374K00000X), and the practice location is in West New York, NJ. The record was last updated on Jun 14, 2018.