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Individual

ANA VALERIA IBANEZ SALAZAR

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
1185 FAIRFAX LN, SOUTH ELGIN, IL 60177-2749
(847) 971-1095
Mailing address
1600 PEBBLE BEACH CIR, ELGIN, IL 60123-6863

Taxonomy

Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
IL

Other

Enumeration date
09/25/2019
Last updated
09/25/2019
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