Individual
MARIA JUANITA AVINA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
360 STATION DR, CRYSTAL LAKE, IL 60014-7978
(815) 356-2382
Mailing address
360 STATION DR, CRYSTAL LAKE, IL 60014-7978
Taxonomy
Speciality
Code
Description
License number
State
163WD0400X
Diabetes Educator Registered Nurse
Primary
041230932
IL
Other
Enumeration date
11/04/2022
Last updated
11/04/2022
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