Individual
MARIA V DEMENTIEVA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
111 N COUNTY FARM RD, WHEATON, IL 60187-3988
(630) 682-7400
Mailing address
164 HIDDEN POND CIR, AURORA, IL 60504-5830
(630) 544-8970
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
Other
Enumeration date
06/17/2021
Last updated
06/17/2021
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