Derollo, Jamie Marie

Derollo, Jamie Marie is an individual health care provider with primary practice located at 5151 Pacific Ave , Stockton CA 95207-6304. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer, which is considered as her primary health care specialty. Derollo, Jamie Marie can be contacted via phone (209) 954-5181.

Contact Information

Primary practice address
5151 Pacific Ave Stockton CA 95207-6304
Phone: (209) 954-5181
Fax: (209) 954-5696
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer 2255A2300X

Profile Details

NPI number 1558764274
LBN Legal business name Derollo, Jamie Marie
Credentials MBA, ATC
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 8th, 2014
Last updated Oct 8th, 2014 - about 10 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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