Individual
DONNA LYNN DELUCCA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
566 OLD FORKS RD, HAMMONTON, NJ 08037-2644
(609) 567-7000
Mailing address
566 OLD FORKS RD, HAMMONTON, NJ 08037-2644
(609) 567-7000
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
25MT000072600
NJ
Other
Enumeration date
04/08/2016
Last updated
04/08/2016
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