Individual
JENNA DALLMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3 SUNSET HILLS PROFESSIONAL CENTER, SUITE 2, EDWARDSVILLE, IL 62025
(618) 655-0333
Mailing address
1521 HENRY ST, ALTON, IL 62002-3556
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
038.012835
IL
Other
Enumeration date
07/14/2015
Last updated
07/14/2015
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