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

TaxonomyCodeLicense
Religious Nonmedical Practitioner Primary 374K00000X18KT01274200 (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.