Individual
CONETHA BRABOY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
906 N LECLAIRE AVE, CHICAGO, IL 60651-3048
(312) 532-4834
Mailing address
906 N LECLAIRE AVE, CHICAGO, IL 60651-3048
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
—
—
Other
Enumeration date
09/14/2018
Last updated
09/14/2018
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