Individual
YUVODKA SHARICE LITTLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PARAMEDICAL ARTIST
Contact information
Practice address
4821 W 103RD ST, OAK LAWN, IL 60453-3955
(800) 780-2959
(800) 918-3011
Mailing address
1001 E 153RD ST, SOUTH HOLLAND, IL 60473-1104
(708) 770-3555
(800) 918-3011
Taxonomy
Speciality
Code
Description
License number
State
305S00000X
Point of Service
Primary
230343
IL
Other
Enumeration date
08/06/2024
Last updated
08/06/2024
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