Individual
DR. KRISTINE DEBODA LAROCCA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
501 W 14TH ST, WILMINGTON, DE 19801
(302) 477-3300
Mailing address
1 BRAEMORE PL, WILMINGTON, DE 19808-1309
(302) 824-3539
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
C2-0013617
DE
Other
Enumeration date
03/22/2018
Last updated
07/27/2021
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