Individual
MIKYAILA MARIE JARAMILLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
570 E 115TH ST, CHICAGO, IL 60628-5740
(773) 768-5000
Mailing address
158 NE CLEARVIEW LN, BREMERTON, WA 98310-7505
(360) 551-7709
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
019.034176
IL
Other
Enumeration date
06/09/2023
Last updated
06/09/2023
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