Individual
LISA DESANTIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AT-C
Contact information
Practice address
1941 LIMESTONE RD STE 101, WILMINGTON, DE 19808-5413
(302) 655-9494
Mailing address
1941 LIMESTONE RD STE 101, WILMINGTON, DE 19808-5413
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
J3-0000521
DE
Other
Enumeration date
12/12/2017
Last updated
12/12/2017
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