Individual
JACKELYN R DELAMORA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1787 LANYON DR, BARTLETT, IL 60103-2322
(630) 947-2084
Mailing address
1787 LANYON DR, BARTLETT, IL 60103-2322
(630) 947-2084
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
01/23/2019
Last updated
01/23/2019
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