Individual
QUINISHA PERRY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
14420 WOODLAWN AVE, DOLTON, IL 60419-1908
(708) 769-9698
Mailing address
14420 WOODLAWN AVE, DOLTON, IL 60419-1908
Taxonomy
Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
—
—
Other
Enumeration date
12/07/2023
Last updated
12/07/2023
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