Individual
JESSICA F. DELALLO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
100 BREWSTER BLVD, CAMP LEJEUNE, NC 28547-2575
(910) 450-4860
Mailing address
100 BREWSTER BLVD, CAMP LEJEUNE, NC 28547-2575
(910) 450-4860
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
2023-01191
NC
2086S0102X
Surgical Critical Care Physician
2023-01191
NC
Other
Enumeration date
06/02/2017
Last updated
05/14/2025
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