Individual
VINCENT PAUL DELVALLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
223 KALAMAZOO ST STE 106, EAST LANSING, MI 48824-5400
(517) 884-7378
(517) 432-1832
Mailing address
223 KALAMAZOO ST STE 106, EAST LANSING, MI 48824-5400
(517) 884-7378
(517) 432-1832
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
2601001340
MI
Other
Enumeration date
04/23/2016
Last updated
06/15/2020
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