Individual
SAMANTHA JUDITH DESJARDINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSED LAT ATC
Contact information
Practice address
100 SPALDING DR STE 300, NAPERVILLE, IL 60540-6553
(630) 790-1872
Mailing address
2245 COPLEY ST, AURORA, IL 60506-3248
(630) 818-0517
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
096.004839
IL
Other
Enumeration date
11/07/2022
Last updated
11/07/2022
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