Individual
VANKETTIA RENELL CELESTINE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1934 W 79TH ST, CHICAGO, IL 60620-5268
(708) 785-3528
Mailing address
4811 SUMMERHILL DR, COUNTRY CLUB HILLS, IL 60478-2011
(708) 785-3528
Taxonomy
Speciality
Code
Description
License number
State
342000000X
Transportation Network Company
Primary
—
—
Other
Enumeration date
06/05/2024
Last updated
06/05/2024
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