Individual
DR. JENNIFER L DELUCA-STAFFORD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DC
Contact information
Practice address
6934 BEACH DR SW, STE 2, OCEAN ISLE BEACH, NC 28469-5797
(910) 575-2225
(910) 575-2275
Mailing address
6934 BEACH DR SW, STE 2, OCEAN ISLE BEACH, NC 28469-5797
(910) 575-2225
(910) 575-2275
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
3282
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3282
LICESE NUMBER NC
NC
Enumeration date
08/12/2013
Last updated
09/18/2018
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