Individual
MS. MELISSA LOUISE PAROCHETTI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CST
Contact information
Practice address
3002 GILL ST, SUITE#3, BLOOMINGTON, IL 61704-3438
(309) 846-4716
Mailing address
708 HENRY ST, PERU, IL 61354-3128
(815) 878-6357
Taxonomy
Speciality
Code
Description
License number
State
246ZC0007X
Surgical Assistant
Primary
100399
IL
Other
Enumeration date
08/13/2008
Last updated
08/13/2008
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