Individual
JORDAN ADDIE DEL BIANCO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
898 GROVER DR, RUTLAND, VT 05701-6645
(802) 558-0679
Mailing address
898 GROVER DR, RUTLAND, VT 05701-6645
(802) 558-0679
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
02/11/2020
Last updated
02/11/2020
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