Individual
KESHIA JUAREZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1728 HERITAGE CT, CARTERVILLE, IL 62918-0024
(618) 967-8521
Mailing address
1728 HERITAGE CT, CARTERVILLE, IL 62918-0024
(618) 967-8521
Taxonomy
Speciality
Code
Description
License number
State
246ZC0007X
Surgical Assistant
Primary
—
—
Other
Enumeration date
09/22/2023
Last updated
09/22/2023
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