MS. Jenna Russell Dallinga, LMT
NPI #1053687715 in Danbury, Connecticut
Provider Information
- NPI Number
- 1053687715
- Entity Type
- Individual
- Name
- MS. Jenna Russell Dallinga, LMT
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Specialist
- Credential
- LMT
- Enumeration Date
- Mar 27, 2012
- Last Updated
- Mar 27, 2012
Practice Location
- Address
- 40 LAKE AVENUE EXT
- City
- Danbury
- State
- Connecticut
- ZIP Code
- 06811-5283
- Phone
- (845) 612-9849
Specialties & Taxonomy Codes
| Specialty |
|---|
| Specialist |
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