JEANZEN MICHELLE LINTAG RAQUENO

DOVER, DE
NPI1164694402
Former NameJEANZEN MICHELLE BERNABE LINTAG
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy225100000X Physical Therapist
(Licence: DE  J1-0002167)
Enumeration Date2008-03-27
Last Update Date2011-03-15
Business Address
Mrs. JEANZEN MICHELLE LINTAG RAQUENO PT
1078 S STATE ST SUITE 1
DOVER, DE 19901-6925
Phone number: 302-678-2397
Mailing Address
Mrs. JEANZEN MICHELLE LINTAG RAQUENO PT
1501 BLUEBALL AVE
LINWOOD, PA 19061-3922
Phone number: 610-859-8850
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