Individual
JIMALEEN DELABIO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6308 8TH AVE, KENOSHA, WI 53143-5031
(262) 656-3290
Mailing address
4007 51ST AVE, KENOSHA, WI 53144-4405
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
663-019
WI
Other
Enumeration date
03/07/2007
Last updated
07/08/2007
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