Individual
JACLYN PRANITA PARAYAO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
102 S HENNEPIN AVE, DIXON, IL 61021-3013
(815) 285-8520
(815) 285-8903
Mailing address
102 S HENNEPIN AVE, DIXON, IL 61021-3013
(815) 285-8520
(815) 285-8903
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
125074429
IL
Other
Enumeration date
06/10/2019
Last updated
06/10/2019
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