Jessica Caracciolo
NPI #1356741458 in Great Lakes, Illinois
Provider Information
- NPI Number
- 1356741458
- Entity Type
- Individual
- Name
- Jessica Caracciolo
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Specialist/Technologist - Athletic Trainer
- Enumeration Date
- Aug 26, 2014
- Last Updated
- Aug 26, 2014
Practice Location
- Address
- 4122 SHARK CT APT A
- City
- Great Lakes
- State
- Illinois
- ZIP Code
- 60088-1142
- Phone
- (805) 750-3323
Specialties & Taxonomy Codes
| Specialty |
|---|
| Specialist/Technologist - Athletic Trainer — Athletic Trainer |
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