Individual
AMANDA NICOLE PASSAGLIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1219 S 11TH ST, SAINT CHARLES, IL 60174-3710
(630) 373-0924
Mailing address
1219 S 11TH ST, SAINT CHARLES, IL 60174-3710
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
05/12/2017
Last updated
05/12/2017
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