Individual
MARIELLE B SERENDA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
623 E BOUGHTON RD, STE 120, BOLINGBROOK, IL 60440-2498
(630) 783-1514
(630) 783-0654
Mailing address
11103 WEST AVE, STE 6, SAN ANTONIO, TX 78213-1370
(210) 524-6663
(210) 524-6587
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
04601029
IL
Other
Enumeration date
07/29/2008
Last updated
07/29/2008
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