Individual
MICHELLE A OLVERA YERENA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDH,PHDH
Contact information
Practice address
2424 N 8TH ST, PEKIN, IL 61554-1547
(309) 382-6404
Mailing address
5008 S MORGAN ST, CHICAGO, IL 60609-5150
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
—
—
Other
Enumeration date
11/18/2024
Last updated
11/18/2024
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