Individual
JIALU SHEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2720 S HIGHLAND AVE APT 129, LOMBARD, IL 60148-5385
(765) 431-5409
Mailing address
2720 S HIGHLAND AVE APT 129, LOMBARD, IL 60148-5385
(765) 431-5409
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
12/09/2018
Last updated
12/09/2018
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