Individual
GISELLE ALHAI NIETO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
36515 N DILLEYS RD, GURNEE, IL 60031-1717
(224) 413-0903
Mailing address
36515 N DILLEYS RD, GURNEE, IL 60031-1717
(224) 413-0903
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
12/13/2024
Last updated
12/13/2024
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