Individual
MYEESHA L SANDERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CERTIFIED HAIR LOSS
Contact information
Practice address
324 166TH ST, CALUMET CITY, IL 60409-6217
(708) 502-3099
Mailing address
324 166TH ST, CALUMET CITY, IL 60409-6217
(708) 502-3099
Taxonomy
Speciality
Code
Description
License number
State
1744P3200X
Prosthetics Case Management
Primary
011.279887
IL
Other
Enumeration date
12/19/2017
Last updated
03/20/2023
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