Individual
JALCYN TOURTELOTTE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
975 W MAIN ST, DOVER FOXCROFT, ME 04426-1067
(207) 564-8351
Mailing address
975 W MAIN ST, DOVER FOXCROFT, ME 04426-1067
(207) 564-8351
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT251
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
996936
NATA
ME
Enumeration date
03/18/2014
Last updated
03/18/2014
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