Individual
DELFANITA ELLEN WARREN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
HAIR LOSS SPECIALIST
Contact information
Practice address
16060 OAK PARK AVE STE 151, TINLEY PARK, IL 60477-1626
(708) 316-1630
Mailing address
412 CRANDON AVE, CALUMET CITY, IL 60409-2202
(708) 299-6046
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
01/10/2020
Last updated
01/10/2020
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