Individual
JENNIFER DALTILIO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.AC.
Contact information
Practice address
301 E BETHANY HOME RD, PHOENIX, AZ 85012-1263
(602) 503-8875
Mailing address
PO BOX 10252, GLENDALE, AZ 85318-0252
(602) 503-8875
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
1069
AZ
Other
Enumeration date
08/15/2017
Last updated
07/21/2022
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