Individual
SHAYNA DELUCA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
178 NEW STATE RD APT 8, MANCHESTER, CT 06042-7941
(203) 645-4489
Mailing address
178 NEW STATE RD APT 8, MANCHESTER, CT 06042-7941
(203) 645-4489
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
10/15/2020
Last updated
10/15/2020
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