Individual
JEANNINE A. DIFRANCO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ATC, CSCS
Contact information
Practice address
100 WOLF PACK RUN, DELTONA, FL 32725-2923
(386) 785-3565
Mailing address
100 WOLF PACK RUN, DELTONA, FL 32725-2923
(386) 785-3565
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AL #2431
FL
2255A2300X
Athletic Trainer
AT-808
OH
Other
Enumeration date
08/04/2008
Last updated
08/04/2008
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