Individual
JESSICA GIACCONE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
631 KINGSLEY DRIVE, VENTNOR, NJ 08406
(609) 412-6208
Mailing address
631 KINGSLEY DR, VENTNOR CITY, NJ 08406-1023
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
02/02/2017
Last updated
02/02/2017
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