Individual
ALJON MARK DUTERTE DUMALAGAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
1311 N MCAREE RD, WAUKEGAN, IL 60085-1426
(773) 633-1971
Mailing address
1311 N MCAREE RD, WAUKEGAN, IL 60085-1426
(773) 633-1971
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
041429730
IL
163W00000X
Registered Nurse
847791
NV
Other
Enumeration date
09/24/2024
Last updated
09/24/2024
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